HCPCS A9510
Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
Current codeMyocardial Perfusion Scan26 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 | $644 – $750 | $353 | $882 |
| Deaconess Medical Center | $157 – $308 | $169 | $422 |
| Highline Medical Center | $18.52 – $103 | $13.15 – $35.06 | $43.05 – $115 |
| Kadlec Regional Medical Center | $99.10 – $227 | — | — |
| MultiCare Valley Hospital | $157 – $304 | $169 | $422 |
| Overlake Hospital Medical Center & Clinics | $133 – $141 | — | — |
| PeaceHealth Peace Island Medical Center | — | $114 | $176 |
| PeaceHealth Southwest Medical Cente | — | $114 | $176 |
| PeaceHealth St John Medical Center | — | $114 | $176 |
| PeaceHealth St Joseph Medical Center | — | $114 | $176 |
| PeaceHealth United General Medical Center | — | $114 | $176 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $87.78 | — | — |
| Providence Centralia Hospital | $180 – $227 | — | — |
| Providence Holy Family Hospital | $87.78 | — | — |
| Providence Regional Medical Center Everett | $87.78 | — | — |
| Seattle Children's Hospital | $140 – $249 | $259 | $259 |
| St Anthony Hospital | $31.00 – $86.10 | $13.10 – $34.92 | $43.05 – $115 |
| St Clare Hospital | $31.00 – $86.10 | $12.41 – $33.10 | $43.05 – $115 |
| St Elizabeth Hospital | $14.34 – $103 | $15.22 – $40.57 | $43.05 – $115 |
| St Francis Community Hospital | $31.00 – $86.10 | $13.52 – $36.03 | $43.05 – $115 |
| St Joseph Medical Center | $31.00 – $86.10 | $14.26 – $38.03 | $43.05 – $115 |
| St Michael Medical Center | $27.56 – $103 | $19.01 – $50.67 | $43.05 – $115 |
| Swedish Edmonds Hospital | $87.78 | — | — |
| Swedish Issaquah | $87.78 | — | — |
| Swedish Medical Center | $87.78 | — | — |
| Swedish Medical Center / Cherry Hill | $87.78 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.