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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$320 – $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$112 – $2225 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
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$18.40 – $2253 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$203 – $2566 plans$126$315
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$228 – $2302 plans$125 – $126$312 – $315
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2302 plans$126$315
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$228 – $2302 plans$125 – $126$312 – $315
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$112 – $2195 plans$120 – $122$301 – $304
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$24.66 – $26.253 plans$77.49$155
PeaceHealth Peace Island Medical CenterFriday Harbor—$66.08$102
PeaceHealth Southwest Medical CenteVancouver—$66.08 – $66.11$102 – $102
PeaceHealth St John Medical CenterLongview—$66.08 – $96.20$102 – $148
PeaceHealth St Joseph Medical CenterBellingham—$66.08 – $66.11$102 – $102
PeaceHealth United General Medical CenterSedro Woolley—$66.08 – $66.11$102 – $102
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$16.301 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$178 – $2252 plans$90.88$175
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$16.301 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$16.301 plan——
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$14.46 – $78.085 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$27.78 – $78.0810 plans$19.16 – $38.29$43.40 – $86.75
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$16.301 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$16.301 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$16.301 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$16.301 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$228 – $2302 plans$125 – $126$312 – $315
Virginia Mason Medical CenterSeattle$93.00 – $1249 plans$79.05$155
WhidbeyHealth Medical CenterCoupeville—$277$277
Yakima Valley MemorialYakimaFile dated 2026-08-27$88.62 – $3044 plans$72.34 – $143$181 – $358

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.