HCPCS A9512
Technetium tc-99m pertechnetate, diagnostic, per millicurie
Current codeMyocardial Perfusion Scan36 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 | $16.06 – $18.70 | $8.80 | $22.00 |
| Deaconess Medical Center | $1.86 – $3.65 | $2.00 | $5.00 |
| EvergreenHealth Medical Center | $1.59 – $21,671 | $18,642 | $23,302 |
| Highline Medical Center | $22.90 – $95.85 | $16.27 – $32.53 | $53.25 – $107 |
| Kadlec Regional Medical Center | $2.36 – $46.70 | — | — |
| Mary Bridge Children's Hospital | $3.23 – $4.07 | $2.00 | $5.00 |
| MultiCare Auburn Medical Center | $3.65 – $3.66 | $2.00 – $2.01 | $5.00 – $5.01 |
| MultiCare Covington Medical Center | $3.65 | $2.00 | $5.00 |
| MultiCare Good Samaritan Hospital | $3.11 – $3.65 | $1.71 – $2.00 | $4.26 – $5.00 |
| MultiCare Valley Hospital | $1.84 – $3.60 | $1.98 – $2.00 | $4.94 – $5.00 |
| Overlake Hospital Medical Center & Clinics | $3.22 – $3.43 | $4.44 | $8.89 |
| PeaceHealth Peace Island Medical Center | — | $39.03 – $109 | $60.05 – $168 |
| PeaceHealth Southwest Medical Cente | — | $39.03 – $109 | $60.05 – $168 |
| PeaceHealth St John Medical Center | — | $6.50 – $109 | $10.00 – $168 |
| PeaceHealth St Joseph Medical Center | — | $39.03 – $109 | $60.05 – $168 |
| PeaceHealth United General Medical Center | — | $39.03 – $109 | $60.05 – $168 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2.00 | — | — |
| Providence Centralia Hospital | $36.87 – $46.70 | $64.92 | $125 |
| Providence Holy Family Hospital | $2.00 | — | — |
| Providence Regional Medical Center Everett | $2.00 | — | — |
| Providence St Peter Hospital | — | $64.92 | $125 |
| Seattle Children's Hospital | $46.39 – $82.46 | $85.90 | $85.90 |
| St Anthony Hospital | $38.34 – $79.88 | $16.20 – $32.40 | $53.25 – $107 |
| St Clare Hospital | $38.34 – $79.88 | $15.35 – $30.70 | $53.25 – $107 |
| St Elizabeth Hospital | $17.74 – $95.85 | $18.82 – $37.64 | $53.25 – $107 |
| St Francis Community Hospital | $38.34 – $79.88 | $16.72 – $33.43 | $53.25 – $107 |
| St Joseph Medical Center | $38.34 – $79.88 | $17.64 – $35.28 | $53.25 – $107 |
| St Michael Medical Center | $34.08 – $95.85 | $23.51 – $47.01 | $53.25 – $107 |
| Swedish Edmonds Hospital | $2.00 | — | — |
| Swedish Issaquah | $2.00 | — | — |
| Swedish Medical Center | $2.00 | — | — |
| Swedish Medical Center / Cherry Hill | $2.00 | — | — |
| Tacoma General Allenmore Hospital | $2.03 – $3.65 | $1.12 – $2.00 | $2.78 – $5.00 |
| Virginia Mason Medical Center | $3.00 – $4.00 | $2.55 | $5.00 |
| WhidbeyHealth Medical Center | — | $282 | $282 |
| Yakima Valley Memorial | $29.40 – $51.00 | $24.00 | $60.00 |
Medicare (traditional) reference
CMS publishes no national amount for this code.