HCPCS A9507
Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
Current code32 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Highline Medical Center | — | $1,992 | $6,524 |
| Legacy Salmon Creek Medical Center | — | $4,074 | $6,268 |
| St Anthony Hospital | — | $1,984 | $6,524 |
| St Clare Hospital | — | $1,880 | $6,524 |
| St Elizabeth Hospital | $1,827 – $2,164 | $2,305 | $6,524 |
| St Francis Community Hospital | — | $2,047 | $6,524 |
| St Joseph Medical Center | — | $2,161 | $6,524 |
| St Michael Medical Center | — | $2,879 | $6,524 |
| Yakima Valley Memorial | — | $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