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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,696 – $1,865 | — | — |
| Deaconess Medical Center | $1,696 – $1,865 | — | — |
| Harborview Medical Center | $1,730 – $1,903 | — | — |
| Highline Medical Center | — | $1,992 | $6,524 |
| Island Hospital | $2,021 – $2,143 | — | — |
| Kadlec Regional Medical Center | $1,730 – $2,076 | — | — |
| Mary Bridge Children's Hospital | $1,696 – $1,865 | — | — |
| MultiCare Auburn Medical Center | $1,696 – $1,865 | — | — |
| MultiCare Covington Medical Center | $1,696 – $1,865 | — | — |
| MultiCare Good Samaritan Hospital | $1,696 – $1,865 | — | — |
| MultiCare Valley Hospital | $1,747 – $1,865 | — | — |
| Olympic Medical Center | $2,122 – $2,729 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,730 – $1,800 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,730 – $2,076 | — | — |
| Providence Centralia Hospital | $1,730 – $2,768 | — | — |
| Providence Holy Family Hospital | $1,730 – $1,903 | — | — |
| Providence Regional Medical Center Everett | $1,730 – $1,903 | — | — |
| St Anthony Hospital | — | $1,984 | $6,524 |
| St Clare Hospital | — | $1,880 | $6,524 |
| St Elizabeth Hospital | $1,174 – $1,435 | $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 | $1,730 – $2,076 | — | — |
| Swedish Issaquah | $1,730 – $2,076 | — | — |
| Swedish Medical Center | $1,730 – $2,076 | — | — |
| Swedish Medical Center / Cherry Hill | $1,730 – $2,076 | — | — |
| Tacoma General Allenmore Hospital | $1,696 – $1,865 | — | — |
| University of Washington Medical Ctr | $1,730 – $1,903 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,696 – $1,899 | $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