HCPCS A9503
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
Current codeMyocardial Perfusion Scan39 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $153 | $153 |
| Capital Medical Center | — | $176 – $203 | $439 – $507 |
| Cascade Valley Hospital | — | $150 – $219 | $187 – $274 |
| Deaconess Medical Center | — | $120 – $122 | $301 – $304 |
| EvergreenHealth Medical Center | — | $79.20 | $99.00 |
| Highline Medical Center | — | $13.26 – $26.49 | $43.40 – $86.75 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $126 | $315 |
| MultiCare Auburn Medical Center | — | $125 – $126 | $312 – $315 |
| MultiCare Covington Medical Center | — | $126 | $315 |
| MultiCare Good Samaritan Hospital | — | $125 – $126 | $312 – $315 |
| MultiCare Valley Hospital | — | $120 – $122 | $301 – $304 |
| Overlake Hospital Medical Center & Clinics | — | $77.49 | $155 |
| PeaceHealth Peace Island Medical Center | — | $66.08 | $102 |
| PeaceHealth Southwest Medical Cente | — | $66.08 – $66.11 | $102 – $102 |
| PeaceHealth St John Medical Center | — | $66.08 – $96.20 | $102 – $148 |
| PeaceHealth St Joseph Medical Center | — | $66.08 – $66.11 | $102 – $102 |
| PeaceHealth United General Medical Center | — | $66.08 – $66.11 | $102 – $102 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | $90.88 | $175 |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | $90.88 | $175 |
| Seattle Children's Hospital | $84.48 | $206 | $206 |
| Skagit Valley Hospital | — | $150 – $219 | $187 – $274 |
| St Anthony Hospital | — | $13.21 – $26.39 | $43.40 – $86.75 |
| St Clare Hospital | — | $12.51 – $25.01 | $43.40 – $86.75 |
| St Elizabeth Hospital | — | $15.34 – $30.66 | $43.40 – $86.75 |
| St Francis Community Hospital | — | $13.62 – $27.23 | $43.40 – $86.75 |
| St Joseph Medical Center | — | $14.38 – $28.74 | $43.40 – $86.75 |
| St Michael Medical Center | — | $19.16 – $38.29 | $43.40 – $86.75 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $125 – $126 | $312 – $315 |
| Virginia Mason Medical Center | — | $79.05 | $155 |
| WhidbeyHealth Medical Center | — | $277 | $277 |
| Yakima Valley Memorial | — | $72.34 – $143 | $181 – $358 |
Medicare (traditional) reference
CMS publishes no national amount for this code.