Technetium tc-99m sestamibi, diagnostic, per study dose
Medicare pricing data for 6,855 providers across 51 states
Prices vary significantly by location — from $45 in South Dakota to $225 in New Mexico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS code A9500) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $108.35, but hospitals typically charge $346.50 — a 3.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $108.35, your out-of-pocket cost would be approximately $21.67. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $86.07 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Mexico | $225 | $316 | 11 | 398 | +107.6% |
| Wyoming | $157 | $283 | 15 | 1,397 | +45.2% |
| Idaho | $150 | $234 | 16 | 1,014 | +38.2% |
| Pennsylvania | $148 | $418 | 158 | 6,051 | +36.8% |
| Kansas | $147 | $313 | 79 | 5,083 | +36.1% |
| Nebraska | $145 | $289 | 42 | 4,272 | +33.4% |
| Michigan | $143 | $321 | 186 | 20,001 | +32.2% |
| Indiana | $142 | $569 | 60 | 5,900 | +31.1% |
| Missouri | $141 | $425 | 93 | 4,878 | +30.3% |
| New Jersey | $138 | $463 | 320 | 17,689 | +27.5% |
| Maryland | $135 | $385 | 139 | 12,089 | +24.3% |
| Iowa | $131 | $224 | 53 | 4,768 | +21.2% |
| Minnesota | $127 | $334 | 92 | 1,481 | +17.4% |
| Mississippi | $126 | $742 | 50 | 1,795 | +16.5% |
| Texas | $122 | $471 | 612 | 30,845 | +12.3% |
| District of Columbia | $121 | $296 | 20 | 756 | +12.1% |
| Illinois | $119 | $432 | 182 | 18,962 | +9.5% |
| New Hampshire | $117 | $425 | 4 | 309 | +8.0% |
| Rhode Island | $116 | $199 | 19 | 1,704 | +7.0% |
| Massachusetts | $114 | $404 | 100 | 13,446 | +5.6% |
| Colorado | $114 | $409 | 46 | 937 | +5.2% |
| Vermont | $114 | $365 | 3 | 330 | +5.0% |
| Alaska | $113 | $240 | 17 | 1,649 | +4.6% |
| Puerto Rico | $113 | $147 | 16 | 856 | +4.4% |
| Virginia | $112 | $278 | 154 | 16,424 | +3.7% |
| New York | $112 | $410 | 571 | 69,660 | +3.4% |
| Florida | $110 | $280 | 957 | 125,148 | +1.7% |
| South Carolina | $109 | $342 | 166 | 24,502 | +0.5% |
| Delaware | $108 | $411 | 29 | 3,883 | +0.1% |
| Arkansas | $108 | $507 | 40 | 2,632 | +0.1% |
| Tennessee | $107 | $269 | 161 | 7,300 | -0.9% |
| Alabama | $107 | $209 | 145 | 13,171 | -0.9% |
| Georgia | $107 | $339 | 122 | 9,676 | -1.2% |
| Connecticut | $106 | $279 | 104 | 8,603 | -1.9% |
| North Carolina | $106 | $323 | 347 | 28,543 | -2.4% |
| West Virginia | $106 | $371 | 23 | 4,981 | -2.5% |
| Louisiana | $106 | $416 | 137 | 8,112 | -2.6% |
| Hawaii | $105 | $254 | 5 | 620 | -2.8% |
| Wisconsin | $99 | $323 | 145 | 4,071 | -8.2% |
| Oklahoma | $95 | $210 | 22 | 1,428 | -12.2% |
| California | $95 | $375 | 621 | 80,489 | -12.6% |
| North Dakota | $88 | $357 | 3 | 142 | -18.7% |
| Arizona | $81 | $326 | 246 | 34,103 | -25.4% |
| Oregon | $69 | $256 | 40 | 1,872 | -36.0% |
| Montana | $66 | $387 | 4 | 89 | -38.9% |
| Utah | $60 | $335 | 19 | 2,172 | -44.8% |
| Nevada | $53 | $217 | 114 | 13,047 | -50.7% |
| Kentucky | $50 | $214 | 20 | 2,240 | -54.0% |
| Washington | $48 | $416 | 92 | 2,706 | -55.7% |
| Ohio | $46 | $262 | 222 | 11,916 | -58.0% |
| South Dakota | $45 | $192 | 11 | 327 | -58.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber