HCPCS A9507
Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
Current code31 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,730 – $3,137 | — | — |
| Deaconess Medical Center | $1,730 – $7,717 | — | — |
| Harborview Medical Center | $2,768 – $3,757 | — | — |
| Highline Medical Center | $2,805 – $5,872 | $1,992 | $6,524 |
| Island Hospital | $3,234 – $3,638 | — | — |
| Kadlec Regional Medical Center | $1,037 – $4,992 | — | — |
| Mary Bridge Children's Hospital | $13,609 | — | — |
| MultiCare Auburn Medical Center | $1,730 – $8,011 | — | — |
| MultiCare Covington Medical Center | $1,730 – $8,011 | — | — |
| MultiCare Good Samaritan Hospital | $1,730 – $8,011 | — | — |
| MultiCare Valley Hospital | $1,730 – $7,700 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $1,903 – $8,878 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $919 – $5,740 | — | — |
| Providence Centralia Hospital | $2,924 – $6,470 | — | — |
| Providence Holy Family Hospital | $919 – $6,344 | — | — |
| Providence Regional Medical Center Everett | $919 – $5,366 | — | — |
| St Anthony Hospital | $4,697 – $4,893 | $1,984 | $6,524 |
| St Clare Hospital | $4,697 – $4,893 | $1,880 | $6,524 |
| St Elizabeth Hospital | $2,172 – $5,872 | $2,305 | $6,524 |
| St Francis Community Hospital | $4,697 – $4,893 | $2,047 | $6,524 |
| St Joseph Medical Center | $4,697 – $4,893 | $2,161 | $6,524 |
| St Michael Medical Center | $4,175 – $5,872 | $2,879 | $6,524 |
| Swedish Edmonds Hospital | $919 – $6,230 | — | — |
| Swedish Issaquah | $919 – $7,339 | — | — |
| Swedish Medical Center | $919 – $7,339 | — | — |
| Swedish Medical Center / Cherry Hill | $919 – $7,339 | — | — |
| Tacoma General Allenmore Hospital | $1,730 – $8,011 | — | — |
| University of Washington Medical Ctr | $2,768 – $5,426 | — | — |
| Wellfound Behavioral Health Hospital | $4,366 | — | — |
| Yakima Valley Memorial | $2,713 – $7,921 | $3,728 | $9,319 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $1,730 (APC 0854)
- Surgery center payment (national)
- $1,730