120051 (CDM) by state — Price Transparency

CDM · across United States

120051 — Tc99m Disofenin Per Vial To 15

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$82 National median

$1 – $123 IQR (p25 – p75)

6 hospitals filing

4 states

View hospital-by-hospital → Raw rate rows →

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Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $20.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 120051 (CDM), with interquartile range
State	Median	p25	p75
NE	$9,120	$9,024	$9,216
MI	$120	$93	$131
CA	$7	$4	$12
NC	$1	$1	$1

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

NE	$9,120	$9,024	$9,216	$2,553	$9,216	1 ⚠ thin data	8	9
MI	$120	$93	$131	$43	$154	2 ⚠ thin data	22	99
CA	$7	$4	$12	$2	$25	2 ⚠ thin data	18	31
NC	<$1	<$1	<$1	<$1	$1	1 ⚠ thin data	26	47