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HANK Price Transparency. (n.d.).
Tc99m apcitide (OTHER A9504) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/A9504/by-state?code_type=OTHER
“Tc99m apcitide (OTHER A9504) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/A9504/by-state?code_type=OTHER. Accessed
June 27, 2026 .
“Tc99m apcitide (OTHER A9504) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/A9504/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
A9504 — Tc99m Apcitide
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$607
National median
$452 – $787
IQR (p25 – p75)
103
hospitals filing
31
states
Walking in without insurance?
Cash / self-pay price
Cash median
$1,267
vs. negotiated
+108.8%
Hospitals reporting
59
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for A9504 (OTHER), with interquartile range
State Median p25 p75
OK $3,175 $3,151 $5,793
SC $2,785 $2,022 $3,021
DC $2,529 $2,472 $4,360
IL $1,810 $475 $2,036
NC $1,341 $1,341 $1,341
AL $1,313 $1,313 $1,313
FL $1,116 $929 $1,610
ID $890 $870 $910
MI $836 $836 $836
WA $833 $727 $938
MT $757 $500 $757
CA $681 $664 $1,116
MS $614 $614 $614
AZ $592 $592 $794
HI $585 $585 $786
OR $562 $562 $848
NH $507 $500 $824
AR $500 $416 $500
TN $487 $475 $614
MN $475 $475 $500
PA $425 $127 $1,064
NY $400 $319 $595
TX $389 $222 $620
IN $351 $222 $351
KY $351 $351 $351
VA $348 $348 $348
WV $298 $95 $500
NM $169 $161 $171
NV $149 $25 $448
OH $82 $80 $82
CO $50 $50 $519