Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
Medicare pricing data for 1,072 providers across 35 states
Prices vary significantly by location — from $65 in Wyoming to $346 in Massachusetts. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries (HCPCS code A9541) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $176.39, but hospitals typically charge $319.15 — a 1.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $176.39, your out-of-pocket cost would be approximately $35.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $140.23 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $346 | $368 | 12 | 145 | +96.1% |
| Minnesota | $305 | $363 | 16 | 29 | +72.7% |
| Arizona | $286 | $520 | 40 | 531 | +61.9% |
| Idaho | $281 | $368 | 2 | 14 | +59.3% |
| Washington | $268 | $372 | 40 | 147 | +51.9% |
| Illinois | $267 | $295 | 29 | 164 | +51.2% |
| New York | $261 | $470 | 80 | 531 | +48.1% |
| California | $250 | $416 | 106 | 777 | +42.0% |
| Wisconsin | $195 | $200 | 26 | 41 | +10.6% |
| Connecticut | $178 | $267 | 18 | 74 | +0.8% |
| Texas | $175 | $342 | 84 | 749 | -0.9% |
| Oregon | $163 | $228 | 19 | 57 | -7.5% |
| Arkansas | $159 | $335 | 13 | 76 | -9.9% |
| Nevada | $159 | $164 | 40 | 192 | -10.1% |
| Tennessee | $150 | $289 | 43 | 150 | -14.7% |
| Georgia | $138 | $374 | 16 | 68 | -21.5% |
| North Carolina | $138 | $293 | 35 | 146 | -21.9% |
| Kentucky | $133 | $517 | 13 | 63 | -24.9% |
| New Mexico | $132 | $278 | 7 | 85 | -25.3% |
| Missouri | $131 | $160 | 18 | 90 | -25.7% |
| Michigan | $127 | $251 | 7 | 22 | -28.2% |
| South Carolina | $124 | $152 | 3 | 31 | -30.0% |
| Indiana | $120 | $326 | 6 | 15 | -32.0% |
| Iowa | $118 | $410 | 9 | 88 | -33.0% |
| Kansas | $117 | $181 | 39 | 298 | -33.7% |
| Mississippi | $117 | $449 | 12 | 24 | -34.0% |
| Nebraska | $114 | $127 | 11 | 60 | -35.2% |
| Virginia | $107 | $158 | 7 | 45 | -39.5% |
| Florida | $103 | $223 | 145 | 1,089 | -41.5% |
| Pennsylvania | $96 | $315 | 17 | 55 | -45.6% |
| Maryland | $90 | $190 | 34 | 218 | -49.0% |
| New Jersey | $76 | $223 | 71 | 350 | -57.0% |
| Puerto Rico | $70 | $144 | 8 | 41 | -60.1% |
| Ohio | $67 | $249 | 15 | 89 | -62.0% |
| Wyoming | $65 | $71 | 5 | 20 | -63.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber