HCPCS A9507

Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries

Current code31 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.

Prices for HCPCS A9507 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28$2,805 – $5,8724 plans$1,992$6,524
St Anthony HospitalGig HarborFile dated 2026-02-28$4,697 – $4,8932 plans$1,984$6,524
St Clare HospitalLakewoodFile dated 2026-02-28$4,697 – $4,8932 plans$1,880$6,524
St Elizabeth HospitalEnumclawFile dated 2026-02-28$2,349 – $5,8728 plans$2,305$6,524
St Francis Community HospitalFederal WayFile dated 2026-02-28$4,697 – $4,8932 plans$2,047$6,524
St Joseph Medical CenterTacomaFile dated 2026-02-28$4,697 – $4,8932 plans$2,161$6,524
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,110 – $5,87210 plans$2,879$6,524
Yakima Valley MemorialYakimaFile dated 2026-08-27$5,2191 plan$3,728$9,319

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

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