HCPCS A9520
Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
Current codeMyocardial Perfusion Scan30 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 | $1,495 – $4,021 | $819 – $1,892 | $2,048 – $4,731 |
| Deaconess Medical Center | $696 – $2,762 | $749 – $1,513 | $1,873 – $3,783 |
| EvergreenHealth Medical Center | $479 – $1,981 | $1,647 | $2,059 |
| Highline Medical Center | $317 – $663 | $225 | $736 |
| Kadlec Regional Medical Center | $937 | — | — |
| Mary Bridge Children's Hospital | $2,696 – $3,398 | $1,670 | $4,174 |
| MultiCare Auburn Medical Center | $3,047 | $1,670 | $4,174 |
| MultiCare Covington Medical Center | $3,047 | $1,670 | $4,174 |
| MultiCare Good Samaritan Hospital | $1,007 – $3,047 | $552 – $1,670 | $1,379 – $4,174 |
| MultiCare Valley Hospital | $1.37 – $2,724 | $1.48 – $1,513 | $3.68 – $3,783 |
| Overlake Hospital Medical Center & Clinics | $1,255 – $1,336 | $1,396 | $2,792 |
| PeaceHealth Southwest Medical Cente | — | $1,612 | $2,479 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $589 | — | — |
| Providence Holy Family Hospital | $589 | — | — |
| Providence Regional Medical Center Everett | $589 | $1,140 | $2,192 |
| Providence St Peter Hospital | — | $1,140 | $2,192 |
| St Anthony Hospital | $530 – $552 | $224 | $736 |
| St Clare Hospital | $530 – $552 | $212 | $736 |
| St Elizabeth Hospital | $245 – $663 | $260 | $736 |
| St Francis Community Hospital | $530 – $552 | $231 | $736 |
| St Joseph Medical Center | $530 – $552 | $244 | $736 |
| St Michael Medical Center | $471 – $663 | $325 | $736 |
| Swedish Edmonds Hospital | $589 | — | — |
| Swedish Issaquah | $589 | — | — |
| Swedish Medical Center | $589 | — | — |
| Swedish Medical Center / Cherry Hill | $589 | — | — |
| Tacoma General Allenmore Hospital | $3,047 | $1,670 | $4,174 |
| Virginia Mason Medical Center | $1,127 – $1,571 | $958 | $1,879 |
| WhidbeyHealth Medical Center | — | $1,510 | $1,510 |
| Yakima Valley Memorial | $65.66 – $2,031 | $53.60 – $956 | $134 – $2,389 |
Medicare (traditional) reference
CMS publishes no national amount for this code.