Tc-99m diag per dose cost at US hospitals
TC-99M DIAG PER DOSE · HCPCS A4641
$23.75
lowest cash price
$470.40
national median
$3,977.19
highest cash price
126
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $23.75–$3,977.19 — the variation is the story.
Median cash price over time
Nov 1, 2025 ($50.00) → Sep 1, 2026 ($77.40)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| California | 40 | $23.75 | $470.40 | $3,910.00 |
| Florida | 9 | $536.25 | $624.00 | $624.00 |
| Georgia | 11 | $226.98 | $226.98 | $226.98 |
| Hawaii | 1 | $47.36 | $47.36 | $47.36 |
| Illinois | 10 | $109.89 | $109.89 | $109.89 |
| Iowa | 25 | $220.08 | $575.50 | $575.50 |
| Kentucky | 1 | $458.40 | $458.40 | $458.40 |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Maryland | 1 | $240.00 | $240.00 | $240.00 |
| Michigan | 4 | not published by hospital | not published by hospital | not published by hospital |
| Minnesota | 10 | $3,073.68 | $3,585.96 | $3,585.96 |
| Missouri | 6 | $279.95 | $279.95 | $279.95 |
| Nebraska | 8 | $53.07 | $220.08 | $3,977.19 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 9 | not published by hospital | not published by hospital | not published by hospital |
| New York | 11 | not published by hospital | not published by hospital | not published by hospital |
| North Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 13 | $536.25 | $536.25 | $536.25 |
| Oklahoma | 1 | $190.30 | $190.30 | $190.30 |
| Oregon | 2 | $425.25 | $425.25 | $425.25 |
| Pennsylvania | 6 | $77.40 | $77.40 | $77.40 |
| South Dakota | 1 | not published by hospital | not published by hospital | not published by hospital |
| Texas | 4 | $3,620.05 | $3,620.05 | $3,620.05 |
| West Virginia | 3 | $71.00 | $1,816.50 | $1,816.50 |
| Wisconsin | 10 | $50.00 | $50.00 | $2,120.00 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Western Maryland | Cumberland, MD | $240.00 | $20.00 – $20.00 |
| Mark Twain Medical Center | San Andreas, CA | $256.41 | $84.86 – $321.44 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $279.95 | not published |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $279.95 | not published |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $279.95 | not published |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $279.95 | not published |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $279.95 | not published |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $279.95 | not published |
| Providence St Vincent Medical Center | Portland, OR | $425.25 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $425.25 | not published |
| Paintsville ARH Hospital | Paintsville, KY | $458.40 | not published |
| Fremont Medical Center | FREMONT, CA | $470.40 | not published |
| Redwood City Medical Center | Redwood City, CA | $470.40 | not published |
| Oakland Medical Center | Oakland, CA | $470.40 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $470.40 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $470.40 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $470.40 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $470.40 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $470.40 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $470.40 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $470.40 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $470.40 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $470.40 | not published |
| Vallejo Medical Center | VALLEJO, CA | $470.40 | not published |
| Antioch Medical Center | ANTIOCH, CA | $470.40 | not published |
| Fresno Medical Center | FRESNO, CA | $470.40 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $470.40 | not published |
| San Jose Medical Center | SAN JOSE, CA | $470.40 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $470.40 | not published |
| akron general | Akron, OH | $536.25 | $0.01 – $742.50 |
| cleveland clinic florida weston hospital | Weston, FL | $536.25 | $26.00 – $52.00 |
| Northridge Hospital Medical Center | Northridge, CA | $564.70 | $465.52 – $2,024.00 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $575.50 | $135.24 – $575.50 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $575.50 | $205.45 – $575.50 |
| MercyOne New Hampton Medical Center | New Hampton, IA | $575.50 | $227.84 – $575.50 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $575.50 | $217.54 – $647.78 |
| MercyOne Clinton Medical Center | Clinton, IA | $575.50 | $162.87 – $575.50 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $575.50 | $219.96 – $575.50 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $575.50 | $135.24 – $575.50 |
| MercyOne Elkader Medical Center | Elkader, IA | $575.50 | $296.21 – $601.51 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $575.50 | $115.68 – $575.50 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $575.50 | $115.68 – $575.50 |
| MercyOne Centerville Medical Center | Centerville, IA | $575.50 | $157.92 – $575.50 |
| MercyOne Newton Medical Center | Newton, IA | $575.50 | $374.08 – $575.50 |
| MercyOne North Iowa Medical Center | Mason City, IA | $575.50 | $147.33 – $575.50 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $617.80 | $3,089.00 – $3,089.00 |
| Baptist Hospital | MIAMI, FL | $624.00 | $166.08 – $864.00 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $624.00 | $192.96 – $960.00 |
| Doctors Hospital | CORAL GABLES, FL | $624.00 | $168.00 – $864.00 |
| Fishermens Community Hospital | MARATHON, FL | $624.00 | $160.32 – $864.00 |