Technetium tc-99m tetrofosmin, diagnostic, per study dose cost in Indiana
$101
Cash from
$101–$392
Cash range · 16 distinct prices
$70
Insurer rates from
24
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| FRANCISCAN HEALTH RENSSELAER, INC. | Rensselaer | $101 | $70 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE | Crawfordsville | $135 | $312 | Jan 2026288 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $216 | $165 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $186 | $165 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $336 | $165 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $249 | $165 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $219 | $165 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $249 | $165 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $249 | $165 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $250 | $165 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $273 | $165 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $392 | $165 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $354 | $165 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $330 | $165 | Mar 2026205 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE | La Porte | $181 | $523 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY | Michigan City | $181 | $357 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT | Crown Point | $186 | $295 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE | Lafayette | $219 | $407 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | Indianapolis | $226 | $392 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL | Carmel | $226 | $636 | Jan 2026288 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- BAPTIST HEALTHCARE SYSTEM INCTECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE
- BAPTIST HEALTHCARE SYSTEM INCTECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE
- BAPTIST HEALTHCARE SYSTEM INCTECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE
- BAPTIST HEALTHCARE SYSTEM INCTECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE
- BAPTIST HEALTHCARE SYSTEM INCTECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE
- BAPTIST HEALTHCARE SYSTEM INCTECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE
- BAPTIST HEALTHCARE SYSTEM INC.TECHNETIUM TC-99M TETROFOSMIN, DIAGNOSTIC, PER STUDY DOSE
- Beavercreek Medical CenterHc Rdph Dx Tc99M Tetrafosmin/D To 40Mci
- Berger HospitalNoncdm Charge Record Radiopharmaceuti
- Bethesda Hospital Inc.HC Myoview Tc99m Tetrofosmin/Ds a 9502
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.