Radiopharmaceutical Frequency, Cost, and Dose
| Hospital-based Facilities | Nonhospital-based Facilities | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| # Facilities Reporting Frequency/Cost/Dose | Mean Frequency | Mean Cost | Median Cost | Mean Dose | # Facilities Reporting Frequency/Cost/Dose | Mean Frequency | Mean Cost | Median Cost | Mean Dose | |||||||||
| Cardiac and Other Nuclear Medicine | ||||||||||||||||||
| A9500 Tc 99m Sestamibi per dose | 397/279/304 | 933 | $100.69 | $85.00 | 24 mCi | 324/205/211 | 1594 | $81.16 | $80.00 | 25 mCi | ||||||||
| 270/257/280 | 685 | $97.69 | $86.00 | 24 mCi | 59/56/60 | 754 | $90.17 | $88.18 | 24 mCi | |||||||||
| A9502 Tc 99m Tetrofosmin per dose | 397/123/136 | 383 | $74.82 | $68.00 | 25 mCi | 316/100/100 | 751 | $74.83 | $70.00 | 25 mCi | ||||||||
| A9505 Tl-201 Thallium per mCi | 400/197/219 | 514 | $32.87 | $23.44 | 4.0 mCi | 321/145/150 | 1057 | $33.45 | $21.00 | 3.7 mCi | ||||||||
| 135/136/145 | 816 | $35.27 | $22.50 | 3.7 mCi | 30/24/26 | 1403 | $27.47 | $22.50 | 7.6 mCi | |||||||||
| Q3010 Tc-99m RBC per dose | 395/88/223 | 53 | $65.62 | $50.50 | 24 mCi | 317/64/74 | 11 | $53.01 | $52.00 | 26 mCi | ||||||||
| J1245 Dipyridamole per 10 mg | 396/72/82 | 318 | $36.07 | $15.50 | 44 mg | 317/80/28 | 198 | $30.96 | $19.00 | 44 mg | ||||||||
| J0150 Adenosine per 6 mg | 386/22/22 | 103 | $59.15 | $32.81 | 47 mg | 312/75/25 | 90 | $102.31 | $106.00 | 44 mg | ||||||||
| J0151 Adenosine per 90 mg | 390/64/61 | 72 | $218.07 | $185.00 | 66 mg | 321/131/108 | 447 | $189.14 | $188.00 | 60 mg | ||||||||
| Therapeutic and Other Nuclear Medicine | ||||||||||||||||||
| A9600 Strontium-89 Chloride per mCi | 63/37/54 | 3 | $1416.0 | $800.00 | 5 mCi | NSD** | ||||||||||||
| A9605 Samarium-153 Lexidronamm, 50 mCi | 61/35/35 | 6 | $140.20 | $52.50 | 71 mCi | NSD | ||||||||||||
| C1064 I-131 Cap, each add mCi | 177/156/145 | 284 | $29.70 | $14.00 | 20 mCi | 34/24/28 | 66 | $36.22 | $16.89 | 16 mCi | ||||||||
| C1064 I-131 Sol, each additional mCi | 22/18/11 | 211 | $7.70 | $7.00 | 24 mCi | NSD | ||||||||||||
| C1188 I-131 Cap per 1–5 mCi | 143/119/120 | 33 | $72.10 | $66.00 | 8.4 mCi | 18/17/15 | 32 | $94.86 | $101.00 | 5.2 mCi | ||||||||
| C1348 I-131 Sol per 1–6 mCi | 23/20/15 | 33 | $54.30 | $51.60 | 15 mCi | NSD | ||||||||||||
| Q3007 Sodium Phosphate P-32 per mCi | 12/9/12 | 25 | $281.40 | $168.80 | 4.5 mCi | NSD | ||||||||||||
| PET and Other Nuclear Medicine | ||||||||||||||||||
| C1775 FDG per dose | 59/50/58 | 251 | $35.66 | $378.00 | 12 mCi | 20/16/19 | 339 | $374.21 | $375.00 | 14 mCi | ||||||||
| A4642 Satumomab pendetide per dose | 12/10/9 | 3 | $1470.45 | $1591.25 | 10 mCi | NSD | ||||||||||||
| A9503 Tc 99m medronate per dose | 227/209/231 | 651 | $19.44 | $14.79 | 24 mCi | 61/54/58 | 513 | $18.93 | $15.90 | 24 mCi | ||||||||
| A9504 Tc 99m apcitide per dose | 30/24/28 | 5 | $350.46 | $375.00 | 20 mCi | NSD | ||||||||||||
| A9507 Indium-111 Capromab pendetide per dose | 26/18/22 | 11 | $1774.30 | $1675.00 | 4 mCi | 7/6/7 | 31 | $1852.17 | $1689.50 | 5 mCi | ||||||||
| A9510 Tc 99m Disofenin per dose | 170/161/179 | 150 | $35.29 | $29.55 | 9 mCi | 35/33/35 | 78 | $34.65 | $33.20 | 6.5 mCi | ||||||||
| A9511 Tc 99m depreotide per mCi | 19/10/20 | 35 | $148.06 | $36.70 | 18 mCi | NSD | ||||||||||||
| C1058 Tc 99m Oxidronate per vial | 37/13/36 | 292 | $19.68 | $17.50 | 24 mCi | NSD | ||||||||||||
| C1066 In 111 Satumomab Pendetide per dose | 31/14/12 | 28 | $1494.41 | $1316.00 | 5 mCi | NSD | ||||||||||||
| C1087 I-123 caps per 100 uCi | 241/208/238 | 308 | $30.03 | $23.20 | 222 uCi | 50/40/44 | 328 | $31.15 | $25.57 | 207 uCi | ||||||||
| C1092 In-111 Pentetate, per 0.5 mCi | 82/61/73 | 12 | $590.28 | $600.00 | 0.5 mCi* | 6/6/6 | 7 | $566.92 | $575.00 | 3.7 mCi | ||||||||
| C1094 Tc 99m Albumin Agg 1.0 mCi | 242/205/228 | 361 | $12.22 | $10.00 | 6.8 mCi | 18/15/16 | 53 | $122.91 | $15.45 | 5.3 mCi | ||||||||
| C1095 depreotide per dose | 24/16/25 | 26 | $678.93 | $662.50 | 18 mCi | NSD | ||||||||||||
| C1096 Tc 99m Exametazime per dose | 73/65/67 | 29 | $435.23 | $410.52 | 20 mCi | 9/8/8 | 73 | $455.15 | $441.30 | 19 mCi | ||||||||
| C1097 Tc 99m Mebrofenin per dose | 198/179/194 | 137 | $32.94 | $29.00 | 6 mCi | 42/35/40 | 93 | $30.96 | $31.50 | 6.7 mCi | ||||||||
| C1098 Tc 99m Pentetate per dose | 159/147/156 | 96 | $24.74 | $20.00 | 24 mCi | 23/21/23 | 67 | $24.78 | $22.00 | 20 mCi | ||||||||
| C1122 Tc 99m Arcitumomab per dose | 14/15/10 | 4 | $1494.53 | $1382.50 | 23 mCi | NSD | ||||||||||||
| Q3006, C1200 Tc 99m Glucoheptonate per dose | 13/18/16 | 6 | $38.16 | $18.00 | 14 mCi | NSD | ||||||||||||
| C1201 Tc 99m Succimer per dose | 29/22/26 | 14 | $203.00 | $216.00 | 3.0 mCi | NSD | ||||||||||||
| C1202 Tc 99m SC per dose | 287/256/279 | 69 | $26.09 | $20.00 | 5.0 mCi* | 63/48/58 | 39 | $22.58 | $20.43 | 5 mCi | ||||||||
| Q3002 Gallium per mCi | 211/178/204 | 55 | $24.30 | $15.91 | 8 mCi | 42/31/35 | 47 | $29.78 | $18.00 | 8 mCi | ||||||||
| Q3003 Tc 99m Biscate per dose | 17/14/18 | 10 | $344.78 | $337.50 | 24 mCi | NSD | ||||||||||||
| Q3004 Xenon 133 per 10 mCi | 138/121/135 | 338 | $22.87 | $18.00 | 15 mCi | NSD | ||||||||||||
| Q3008 Tc 99m Mertiatide per dose | 162/149/158 | 65 | $133.41 | $132.95 | 10 mCi* | 38/32/34 | 36 | $141.60 | $138.13 | 9 mCi | ||||||||
| Q3008 In 111 Pentetreotide per dose | 63/55/51 | 21 | $1102.86 | $1105.00 | 5 mCi | 8/9/9 | 7 | $1431.60 | $1350.00 | 5 mCi | ||||||||
| Q3009 Tc 99m Oxidronate per dose | 53/49/56 | 582 | $22.87 | $18.29 | 23 mCi | 11/11/11 | 461 | $18.50 | $16.43 | 25 mCi | ||||||||