Tc-99m pentetate dtpa cost at US hospitals

TC-99M PENTETATE DTPA · HCPCS A9539

$12.06

lowest cash price

$222.60

national median

$2,026.43

highest cash price

554

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $12.06–$2,026.43 — the variation is the story.

Cheapest published cash price

$12.06

WHITE MEMORIAL MEDICAL CENTER — MONTEBELLO, CA

Most expensive published cash price

$2,026.43

HCA HOUSTON CONROE — CONROE, TX

Median cash price over time

Sep 1, 2025 ($102.45) → Sep 1, 2026 ($817.00)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
Arizona 17 $12.83 $46.40 $216.82
Arkansas 2 $91.65 $91.65 $108.00
California 84 $12.06 $209.41 $1,024.92
Colorado 17 $55.15 $296.47 $1,776.00
Florida 59 $66.30 $578.00 $1,852.00
Georgia 22 $95.94 $95.94 $840.00
Hawaii 2 $302.04 $302.04 $782.08
Illinois 25 $41.40 $1,134.70 $1,134.70
Indiana 18 $222.60 $406.80 $1,849.72
Iowa 30 $37.60 $524.46 $797.11
Kansas 2 $25.37 $25.37 $415.76
Kentucky 11 $62.10 $103.20 $559.80
Louisiana 1 $167.44 $167.44 $167.44
Maine 7 $67.45 $102.45 $255.35
Maryland 2 $22.20 $22.20 $22.20
Michigan 20 $36.96 $487.14 $487.14
Minnesota 15 $160.08 $186.76 $388.80
Missouri 13 $156.00 $160.60 $893.76
Montana 1 not published by hospital not published by hospital not published by hospital
Nebraska 11 $38.00 $249.90 $429.25
Nevada 4 $54.12 $59.93 $135.70
New Hampshire 1 $1,453.35 $1,453.35 $1,453.35
New Jersey 21 not published by hospital not published by hospital not published by hospital
New Mexico 1 not published by hospital not published by hospital not published by hospital
New York 17 $342.80 $342.80 $421.90
North Carolina 13 $93.98 $93.98 $271.00
North Dakota 2 $388.80 $388.80 $752.00
Ohio 49 $20.80 $276.90 $975.00
Oklahoma 7 $90.20 $161.23 $948.92
Oregon 8 $131.27 $308.31 $500.22
Pennsylvania 15 $55.80 $96.00 $525.60
South Carolina 10 $81.00 $81.00 $81.00
South Dakota 5 $388.80 $388.80 $388.80
Tennessee 31 $46.05 $150.57 $635.77
Texas 79 $54.95 $327.87 $2,026.43
Virginia 24 $46.05 $595.00 $1,144.00
Washington 28 $37.48 $346.82 $544.17
West Virginia 13 $61.00 $123.50 $559.80
Wisconsin 26 $142.45 $175.00 $770.01
Wyoming 3 $210.46 $239.09 $281.69

All hospitals

Hospital Location Cash price Negotiated range
Jackson General Hospital Ripley, WV $82.50 $49.17 – $49.17
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL $82.50 $63.92 – $63.92
CHRISTUS Santa Rosa Emergency Center - Alon San Antonio, TX $82.50 $27.82 – $80.21
Banner Thunderbird Medical Center Glendale, AZ $84.02 $35.72 – $267.00
Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) Joe, FL $85.20 $45.90 – $47.94
Henry Ford Providence Novi Hospital Novi, MI $87.36 $43.05 – $73.47
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK $90.20 $61.76 – $61.76
UPMC Magee Pittsburgh, PA $90.60 $30.49 – $196.78
SSM Health St. Mary's Hospital - Centralia Centralia, IL $90.75 not published
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon, IL $90.75 not published
Mercy Orthopedic Hospital Fort Smith Fort Smith, AR $91.65 $13.68 – $39.29
Atrium Health Anson Wadesboro, NC $93.98 $28.12 – $178.55
Atrium Health Mercy Charlotte, NC $93.98 $40.99 – $172.91
Atrium Health Pineville Charlotte, NC $93.98 $18.80 – $172.91
Atrium Health Stanly Albermarle, NC $93.98 $22.55 – $180.43
Atrium Health Behavioral Health Charlotte Charlotte, NC $93.98 $35.71 – $187.95
Atrium Health Cleveland Shelby, NC $93.98 $26.31 – $178.55
Atrium Health Cabarrus Concord, NC $93.98 $23.06 – $178.55
Atrium Health Lincoln Lincolnton, NC $93.98 $21.20 – $178.55
Atrium Health Union Monroe, NC $93.98 $24.43 – $178.55
Carolinas Rehabilitation Charlotte Charlotte, NC $93.98 $53.02 – $172.91
Atrium Health University City Charlotte, NC $93.98 $18.80 – $172.91
Atrium Health Carolinas Medical Center Charlotte, NC $93.98 $40.99 – $169.16
Community Hospital San Bernardino San Bernardino, CA $94.63 $13.00 – $242.00
UPMC Jameson New Castle, PA $94.80 $30.74 – $196.78
Wellstar Cobb Hospital Austell, GA $95.94 $60.92 – $60.92
Wellstar Douglas Hospital Douglasville, GA $95.94 $60.92 – $60.92
Wellstar Kennestone Hospital Marietta, GA $95.94 $60.92 – $60.92
Wellstar MCG Health Augusta, GA $95.94 $60.92 – $60.92
Wellstar North Fulton Hospital Roswell, GA $95.94 $60.92 – $60.92
Wellstar Paulding Hospital Hiram, GA $95.94 $60.92 – $60.92
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280, GA $95.94 not published
Wellstar Spalding Regional Hospital Griffin, GA $95.94 $60.92 – $60.92
Wellstar Sylvan Grove Hospital Jackson, GA $95.94 $60.92 – $60.92
Wellstar West Georgia Medical Center Lagrange, GA $95.94 $60.92 – $60.92
Wellstar Windy Hill Hospital Marietta, GA $95.94 $60.92 – $60.92
UPMC Mercy Pittsburgh, PA $96.00 $30.21 – $155.39
HANFORD COMMUNITY HOSPITAL Selma, CA $99.75 $17.88 – $882.00
REEDLEY COMMUNITY HOSPITAL Reedley, CA $99.75 $17.51 – $682.50
ADVENTIST HEALTH TULARE Tulare, CA $99.75 $15.28 – $687.75
ADVENTIST HEALTH CLEARLAKE HOSPITAL Clearlake, CA $101.16 $32.12 – $463.65
Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) Pensacola, FL $101.20 $45.90 – $47.94
Franklin Memorial Hospital Farmington, ME $102.45 $27.72 – $31.96
UPMC Kane Kane, PA $102.60 $41.63 – $144.91
Morgan County ARH Hospital Liberty, KY $103.20 $0.01 – $0.01
ARH Our Lady of the Way Hospital Martin, KY $103.20 $0.01 – $0.01
Barbourville ARH Hospital Barbourville, KY $103.20 $0.01 – $0.01
Ascension Seton Smithville (Ascension Seton) Smithville, TX $105.12 $104.87 – $130.77
CHI St. Vincent Hospital Hot Springs Hot Springs, AR $108.00 $31.05 – $86.40
Whitesburg ARH Hospital Whitesburg, KY $108.60 $0.01 – $0.01

Related supplies procedures