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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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$153$153
Capital Medical CenterOlympiaFile dated 2026-08-27—$176 – $203$439 – $507
Cascade Valley HospitalArlington$187 – $2741 plan$150 – $219$187 – $274
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$120 – $122$301 – $304
EvergreenHealth Medical CenterKirkland—$79.20$99.00
Highline Medical CenterBurienFile dated 2026-02-28—$13.26 – $26.49$43.40 – $86.75
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$126$315
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$125 – $126$312 – $315
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$126$315
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$125 – $126$312 – $315
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$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$52.96 – $66.9812 plans$206$206
Skagit Valley HospitalMount Vernon—$150 – $219$187 – $274
St Anthony HospitalGig HarborFile dated 2026-02-28—$13.21 – $26.39$43.40 – $86.75
St Clare HospitalLakewoodFile dated 2026-02-28—$12.51 – $25.01$43.40 – $86.75
St Elizabeth HospitalEnumclawFile dated 2026-02-28$12.16 – $28.785 plans$15.34 – $30.66$43.40 – $86.75
St Francis Community HospitalFederal WayFile dated 2026-02-28—$13.62 – $27.23$43.40 – $86.75
St Joseph Medical CenterTacomaFile dated 2026-02-28—$14.38 – $28.74$43.40 – $86.75
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$19.16 – $38.29$43.40 – $86.75
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$125 – $126$312 – $315
Virginia Mason Medical CenterSeattle—$79.05$155
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.