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Every billing code / Imaging / Nuclear

HCPCS A9510

Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries

Current codeMyocardial Perfusion Scan26 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$353$882
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$169$422
Highline Medical CenterBurienFile dated 2026-02-28—$13.15 – $35.06$43.05 – $115
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$169$422
Seattle Children's HospitalSeattle$1061 plan$259$259
St Anthony HospitalGig HarborFile dated 2026-02-28—$13.10 – $34.92$43.05 – $115
St Clare HospitalLakewoodFile dated 2026-02-28—$12.41 – $33.10$43.05 – $115
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$15.22 – $40.57$43.05 – $115
St Francis Community HospitalFederal WayFile dated 2026-02-28—$13.52 – $36.03$43.05 – $115
St Joseph Medical CenterTacomaFile dated 2026-02-28—$14.26 – $38.03$43.05 – $115
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$19.01 – $50.67$43.05 – $115

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.