HCPCS A9537
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
Current codeMyocardial Perfusion Scan40 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) |
|---|---|---|---|
| BHC Fairfax Hospital | $61.18 – $113 | $161 | $161 |
| Capital Medical Center | $164 – $526 | $90.00 – $248 | $225 – $619 |
| Cascade Valley Hospital | $14.24 – $1,469 | $134 | $168 |
| Deaconess Medical Center | $78.39 – $155 | $84.40 – $85.20 | $211 – $213 |
| EvergreenHealth Medical Center | $56.42 – $259 | $223 | $279 |
| Highline Medical Center | $10.80 – $113 | $7.67 – $38.27 | $25.10 – $125 |
| Island Hospital | $7.76 – $92.15 | $97.00 | $97.00 |
| Kadlec Regional Medical Center | $78.31 – $431 | — | — |
| Mary Bridge Children's Hospital | $147 – $185 | $90.80 | $227 |
| MultiCare Auburn Medical Center | $164 – $166 | $90.00 – $90.80 | $225 – $227 |
| MultiCare Covington Medical Center | $166 | $90.80 | $227 |
| MultiCare Good Samaritan Hospital | $164 – $166 | $90.00 – $90.80 | $225 – $227 |
| MultiCare Valley Hospital | $78.39 – $153 | $84.40 – $85.20 | $211 – $213 |
| Overlake Hospital Medical Center & Clinics | $105 – $112 | $77.88 | $156 |
| PeaceHealth Southwest Medical Cente | — | $110 | $169 |
| PeaceHealth St John Medical Center | — | $65.00 – $110 | $100 – $169 |
| PeaceHealth St Joseph Medical Center | — | $110 | $169 |
| PeaceHealth United General Medical Center | — | $110 | $169 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $69.37 | — | — |
| Providence Centralia Hospital | $340 – $431 | — | — |
| Providence Holy Family Hospital | $69.37 | — | — |
| Providence Regional Medical Center Everett | $69.37 | — | — |
| Providence St Peter Hospital | — | $79.52 | $153 |
| Seattle Children's Hospital | $1,056 – $1,877 | $1,955 | $1,955 |
| Skagit Valley Hospital | $24.17 – $795 | $134 – $670 | $168 – $837 |
| St Anthony Hospital | $18.08 – $93.98 | $7.64 – $38.11 | $25.10 – $125 |
| St Clare Hospital | $18.08 – $93.98 | $7.24 – $36.12 | $25.10 – $125 |
| St Elizabeth Hospital | $8.36 – $113 | $8.87 – $44.28 | $25.10 – $125 |
| St Francis Community Hospital | $18.08 – $93.98 | $7.88 – $39.33 | $25.10 – $125 |
| St Joseph Medical Center | $18.08 – $93.98 | $8.32 – $41.50 | $25.10 – $125 |
| St Michael Medical Center | $16.07 – $113 | $11.08 – $55.31 | $25.10 – $125 |
| Swedish Edmonds Hospital | $69.37 | — | — |
| Swedish Issaquah | $69.37 | — | — |
| Swedish Medical Center | $69.37 | — | — |
| Swedish Medical Center / Cherry Hill | $69.37 | — | — |
| Tacoma General Allenmore Hospital | $164 – $166 | $90.00 – $90.80 | $225 – $227 |
| Trios Health | — | — | $610 |
| Virginia Mason Medical Center | $101 – $135 | $86.19 | $169 |
| WhidbeyHealth Medical Center | — | $287 | $287 |
| Yakima Valley Memorial | $151 – $349 | $124 – $164 | $309 – $410 |
Medicare (traditional) reference
CMS publishes no national amount for this code.