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
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) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $1,992 | $6,524 |
| Island Hospital | $2,021 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| St Anthony Hospital | — | $1,984 | $6,524 |
| St Clare Hospital | — | $1,880 | $6,524 |
| St Elizabeth Hospital | $1,109 – $1,350 | $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 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| 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