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 | $706 – $750 | $353 | $882 |
| Deaconess Medical Center | $300 – $308 | $169 | $422 |
| Highline Medical Center | $18.52 – $103 | $13.15 – $35.06 | $43.05 – $115 |
| MultiCare Valley Hospital | $304 | $169 | $422 |
| 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 | $15.50 – $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 | $27.13 – $103 | $19.01 – $50.67 | $43.05 – $115 |
Medicare (traditional) reference
CMS publishes no national amount for this code.