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Every billing code / Imaging / Nuclear

HCPCS A9503

Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries

Current codeMyocardial Perfusion Scan39 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$99.451 plan$153$153
Capital Medical CenterOlympiaFile dated 2026-08-27$351 – $4312 plans$176 – $203$439 – $507
Cascade Valley HospitalArlington$15.90 – $2,7008 plans$150 – $219$187 – $274
Deaconess Medical CenterSpokaneFile dated 2026-08-27$214 – $2222 plans$120 – $122$301 – $304
EvergreenHealth Medical CenterKirkland$13.26 – $92.0711 plans$79.20$99.00
Highline Medical CenterBurienFile dated 2026-02-28$18.67 – $78.084 plans$13.26 – $26.49$43.40 – $86.75
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$206 – $2526 plans$126$315
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$184 – $2303 plans$125 – $126$312 – $315
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$186 – $2303 plans$126$315
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$184 – $2303 plans$125 – $126$312 – $315
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$217 – $2192 plans$120 – $122$301 – $304
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$77.49$155
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$90.88$175
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$90.88$175
Seattle Children's HospitalSeattle$111 – $19898 plans$206$206
Skagit Valley HospitalMount Vernon$26.99 – $2607 plans$150 – $219$187 – $274
St Anthony HospitalGig HarborFile dated 2026-02-28$31.25 – $65.072 plans$13.21 – $26.39$43.40 – $86.75
St Clare HospitalLakewoodFile dated 2026-02-28$31.25 – $65.072 plans$12.51 – $25.01$43.40 – $86.75
St Elizabeth HospitalEnumclawFile dated 2026-02-28$15.63 – $78.088 plans$15.34 – $30.66$43.40 – $86.75
St Francis Community HospitalFederal WayFile dated 2026-02-28$31.25 – $65.072 plans$13.62 – $27.23$43.40 – $86.75
St Joseph Medical CenterTacomaFile dated 2026-02-28$31.25 – $65.072 plans$14.38 – $28.74$43.40 – $86.75
St Michael Medical CenterSilverdaleFile dated 2026-02-28$27.35 – $78.0810 plans$19.16 – $38.29$43.40 – $86.75
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$184 – $2303 plans$125 – $126$312 – $315
Virginia Mason Medical CenterSeattle$99.28 – $1244 plans$79.05$155
Yakima Valley MemorialYakimaFile dated 2026-08-27$101 – $2001 plan$72.34 – $143$181 – $358

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.