Tc-99m non-heu per study dose cost in Wisconsin
TC-99M NON-HEU PER STUDY DOSE · HCPCS Q9969
$5.00
lowest in Wisconsin
$5.00
state median
$15.40
highest in Wisconsin
$6.60
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Aurora Baycare Medical Center | Green Bay | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Bay Area | Marinette | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Burlington | Burlington | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Grafton | Grafton | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Manitowoc | Two Rivers | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Kenosha | Kenosha | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Fond du Lac | Fond Du Lac | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Sheboygan County | Sheboygan | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Summit | Summit | $5.00 | $10.00 – $10.00 | 1 |
| Aurora Medical Center Washington County | Hartford | $5.00 | $10.00 – $10.00 | 1 |
| Aurora West Allis Medical Center | West Allis | $5.00 | $10.00 – $10.00 | 1 |
| UnityPoint Health - Meriter Hospital | Madison | $9.60 | $2.30 – $10.00 | 14 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY | $11.88 | $16.50 – $16.50 | 1 |
| HSHS St. Nicholas Hospital | SHEBOYGAN | $11.88 | $16.50 – $16.50 | 1 |
| HSHS St. Vincent Hospital | Green Bay | $11.88 | $16.50 – $16.50 | 1 |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS | $11.88 | $16.50 – $16.50 | 1 |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac | $12.65 | $27.23 – $27.23 | 1 |
| SSM Health Waupun Memorial Hospital | Waupun | $12.65 | $27.23 – $27.23 | 1 |
| SSM Health St. Mary's Hospital - Janesville | Janesville | $12.65 | not published | 0 |
| SSM Health St. Mary's Hospital - Madison | Madison | $12.65 | not published | 0 |
| SSM Health Ripon Community Hospital | Ripon | $12.65 | $27.23 – $27.23 | 1 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo | $15.40 | not published | 0 |
| SSM Health Monroe Hospital | Monroe | not published | $16.34 – $16.34 | 1 |
| Aurora Psychiatric Hospital | Wauwatosa | not published | $10.00 – $10.00 | 1 |