Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
Medicare pricing data for 181 providers across 17 states
Prices vary significantly by location — from $9 in New York to $50 in Illinois. 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
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose (HCPCS code Q9969) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.40, but hospitals typically charge $35.49 — a 2.5x 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 $14.40, your out-of-pocket cost would be approximately $2.88. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $11.47 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $50 | $77 | 5 | 863 | +248.9% |
| Texas | $20 | $23 | 19 | 484 | +39.2% |
| Massachusetts | $15 | $15 | 5 | 258 | +2.5% |
| California | $13 | $38 | 10 | 1,191 | -9.4% |
| Ohio | $13 | $20 | 1 | 162 | -12.2% |
| Mississippi | $12 | $12 | 5 | 277 | -19.1% |
| Georgia | $10 | $39 | 3 | 238 | -31.7% |
| Idaho | $10 | $10 | 6 | 250 | -31.7% |
| Louisiana | $10 | $10 | 6 | 54 | -31.7% |
| Arizona | $10 | $50 | 7 | 1,053 | -31.7% |
| Utah | $10 | $10 | 1 | 77 | -32.4% |
| Alabama | $10 | $14 | 18 | 1,356 | -32.4% |
| North Carolina | $10 | $30 | 22 | 1,723 | -32.5% |
| Washington | $10 | $10 | 23 | 650 | -32.9% |
| Florida | $10 | $114 | 10 | 600 | -33.6% |
| Virginia | $10 | $10 | 27 | 634 | -33.9% |
| New York | $9 | $14 | 3 | 16 | -35.9% |
⚠️ 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