HCPCS A9512
Technetium tc-99m pertechnetate, diagnostic, per millicurie
Current codeMyocardial Perfusion Scan36 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $8.80 | $22.00 |
| Deaconess Medical Center | — | $2.00 | $5.00 |
| EvergreenHealth Medical Center | — | $18,642 | $23,302 |
| Highline Medical Center | — | $16.27 – $32.53 | $53.25 – $107 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $2.00 | $5.00 |
| MultiCare Auburn Medical Center | — | $2.00 – $2.01 | $5.00 – $5.01 |
| MultiCare Covington Medical Center | — | $2.00 | $5.00 |
| MultiCare Good Samaritan Hospital | — | $1.71 – $2.00 | $4.26 – $5.00 |
| MultiCare Valley Hospital | — | $1.98 – $2.00 | $4.94 – $5.00 |
| Overlake Hospital Medical Center & Clinics | — | $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. | — | — | — |
| Providence Centralia Hospital | — | $64.92 | $125 |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | $64.92 | $125 |
| Seattle Children's Hospital | $21.65 | $85.90 | $85.90 |
| St Anthony Hospital | — | $16.20 – $32.40 | $53.25 – $107 |
| St Clare Hospital | — | $15.35 – $30.70 | $53.25 – $107 |
| St Elizabeth Hospital | — | $18.82 – $37.64 | $53.25 – $107 |
| St Francis Community Hospital | — | $16.72 – $33.43 | $53.25 – $107 |
| St Joseph Medical Center | — | $17.64 – $35.28 | $53.25 – $107 |
| St Michael Medical Center | — | $23.51 – $47.01 | $53.25 – $107 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $1.12 – $2.00 | $2.78 – $5.00 |
| Virginia Mason Medical Center | — | $2.55 | $5.00 |
| WhidbeyHealth Medical Center | — | $282 | $282 |
| Yakima Valley Memorial | — | $24.00 | $60.00 |
Medicare (traditional) reference
CMS publishes no national amount for this code.