Cost analysis for CPT A9502 — Technetium tc-99m tetrofosmin, diagnostic, per study dose
Average Medicare Payment
$127.19
2023 data
Total Payments (2023)
$54.3M
Services (2023)
404.4K
Price Change (2014–2023)
+46.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $86.58 | $51.0M | 600.7K | — |
| 2015 | $86.92 | $44.1M | 521.1K | +0.4% |
| 2016 | $85.82 | $40.2M | 483.0K | -1.3% |
| 2017 | $89.56 | $42.2M | 478.2K | +4.4% |
| 2018 | $83.99 | $38.5M | 461.1K | -6.2% |
| 2019 | $85.12 | $39.6M | 466.0K | +1.3% |
| 2020 | $86.08 | $32.6M | 375.2K | +1.1% |
| 2021 | $87.98 | $35.8M | 408.3K | +2.2% |
| 2022 | $109.80 | $45.3M | 406.4K | +24.8% |
| 2023 | $127.19 | $54.3M | 404.4K | +15.8% |
The most expensive state pays 7.7x more than the cheapest for this procedure. PR averages $363.15 vs OR at $47.38.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| PR | $363.15 | $92.2K | 254 | 1 |
| AR | $335.72 | $160.5K | 478 | 2 |
| WI | $280.48 | $622.9K | 2.2K | 19 |
| FL | $279.50 | $17.4M | 62.4K | 382 |
| NY | $263.21 | $8.8M | 33.5K | 177 |
| IL | $213.91 | $2.7M | 12.6K | 63 |
| CT | $176.84 | $100.1K | 566 | 16 |
| MA | $151.64 | $591.4K | 3.9K | 38 |
| RI | $138.55 | $30.1K | 217 | 3 |
| UT | $116.53 | $18.3K | 157 | 1 |
| CO | $112.12 | $72.2K | 644 | 17 |
| NJ | $111.52 | $1.4M | 12.5K | 152 |
| OH | $101.40 | $209.4K | 2.1K | 12 |
| IA | $94.67 | $12.0K | 127 | 1 |
| PA | $93.58 | $699.7K | 7.5K | 115 |
| SC | $90.90 | $1.5M | 16.9K | 78 |
| AL | $90.33 | $1.1M | 12.5K | 75 |
| GA | $90.08 | $2.8M | 31.5K | 190 |
| NC | $88.09 | $780.9K | 8.9K | 70 |
| TN | $88.06 | $979.8K | 11.1K | 70 |
| KS | $87.39 | $1.0M | 11.7K | 34 |
| VA | $86.88 | $1.3M | 14.5K | 103 |
| IN | $86.35 | $68.1K | 789 | 5 |
| NE | $86.25 | $157.4K | 1.8K | 6 |
| MI | $85.63 | $882.3K | 10.3K | 71 |
| MO | $83.83 | $80.7K | 963 | 6 |
| MS | $77.00 | $365.5K | 4.7K | 39 |
| MD | $76.97 | $1.5M | 19.1K | 134 |
| MN | $76.94 | $9.7K | 126 | 2 |
| AZ | $75.93 | $2.1M | 27.4K | 128 |
| WA | $75.74 | $265.5K | 3.5K | 34 |
| CA | $75.68 | $3.3M | 43.1K | 244 |
| AE | $75.65 | $44.6K | 589 | 1 |
| NV | $74.77 | $41.0K | 549 | 5 |
| MT | $74.75 | $33.9K | 454 | 1 |
| TX | $73.72 | $2.4M | 32.0K | 337 |
| LA | $66.66 | $182.8K | 2.7K | 24 |
| NM | $58.51 | $55.3K | 946 | 3 |
| KY | $54.16 | $177.4K | 3.3K | 18 |
| OK | $53.74 | $12.3K | 229 | 5 |
| DC | $52.02 | $84.1K | 1.6K | 19 |
| DE | $48.17 | $139.0K | 2.9K | 15 |
| OR | $47.38 | $56.9K | 1.2K | 7 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Ricardo Martinez | Interventional Cardiology | FL | $551.8K | 1.6K | $351.48 |
| Joseph Musso | Cardiology | NY | $514.7K | 686 | $750.23 |
| Jyoti Mohanty | Cardiology | FL | $417.3K | 1.2K | $357.91 |
| Daniel Donohue | Interventional Cardiology | NY | $391.1K | 1.2K | $339.81 |
| Eileen Bishop | Cardiology | NY | $356.8K | 1.1K | $313.52 |
| Ibrahim Fahdi | Cardiology | FL | $328.6K | 1.1K | $303.95 |
| David Gidseg | Cardiology | NY | $322.1K | 1.0K | $314.59 |
| David Dagate | Cardiology | NY | $309.6K | 977 | $316.92 |
| Rajoo Patel | Cardiology | NY | $266.1K | 573 | $464.45 |
| Eric Heller | Cardiology | FL | $259.0K | 737 | $351.48 |
| John Gruendel | Cardiology | NY | $254.2K | 556 | $457.19 |
| Raman Bhasin | Cardiology | NY | $237.0K | 625 | $379.21 |
| Stephen Littman | Cardiology | NY | $235.9K | 752 | $313.72 |
| Augusto Villa | Cardiology | FL | $234.4K | 667 | $351.48 |
| Rameshchandra Dabhi | Cardiology | NY | $229.1K | 508 | $451.00 |
| John Gerald Canto | Cardiology | FL | $228.0K | 687 | $331.90 |
| Steven Lee | Interventional Cardiology | FL | $227.8K | 648 | $351.48 |
| Brian Taschner | Cardiology | FL | $201.0K | 574 | $350.25 |
| Hetal Gandhi | Cardiology | IL | $199.8K | 530 | $377.06 |
| Gregory Coffman | Cardiology | FL | $199.1K | 616 | $323.14 |
The data suggests significant pricing inconsistencies for CPT A9502. With a 7.7x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 46.9% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.