Tc-99m pentetate dtpa aerosol cost in Indiana
TC-99M PENTETATE DTPA AEROSOL · HCPCS A9567
$190.80
lowest in Indiana
$190.80
state median
$435.60
highest in Indiana
$244.02
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $190.80 | $23.30 – $39.10 | 3 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem | $190.80 | $23.30 – $23.30 | 1 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $190.80 | $23.30 – $39.10 | 3 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil | $190.80 | $23.30 – $23.30 | 2 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $190.80 | $23.30 – $23.30 | 2 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel | $190.80 | $23.30 – $23.30 | 1 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh | $435.60 | $23.30 – $648.00 | 13 |