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Every billing code / Imaging / Nuclear

HCPCS A9537

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

Current codeMyocardial Perfusion Scan40 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$161$161
Capital Medical CenterOlympiaFile dated 2026-08-27—$90.00 – $248$225 – $619
Cascade Valley HospitalArlington—$134$168
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$84.40 – $85.20$211 – $213
EvergreenHealth Medical CenterKirkland—$223$279
Highline Medical CenterBurienFile dated 2026-02-28—$7.67 – $38.27$25.10 – $125
Island HospitalAnacortes—$97.00$97.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$90.80$227
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$90.00 – $90.80$225 – $227
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$90.80$227
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$90.00 – $90.80$225 – $227
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$84.40 – $85.20$211 – $213
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$77.88$156
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$79.52$153
Seattle Children's HospitalSeattle$4931 plan$1,955$1,955
Skagit Valley HospitalMount Vernon—$134 – $670$168 – $837
St Anthony HospitalGig HarborFile dated 2026-02-28—$7.64 – $38.11$25.10 – $125
St Clare HospitalLakewoodFile dated 2026-02-28—$7.24 – $36.12$25.10 – $125
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$8.87 – $44.28$25.10 – $125
St Francis Community HospitalFederal WayFile dated 2026-02-28—$7.88 – $39.33$25.10 – $125
St Joseph Medical CenterTacomaFile dated 2026-02-28—$8.32 – $41.50$25.10 – $125
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$11.08 – $55.31$25.10 – $125
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$90.00 – $90.80$225 – $227
Trios HealthKennewick——$610
Virginia Mason Medical CenterSeattle—$86.19$169
Yakima Valley MemorialYakimaFile dated 2026-08-27—$124 – $164$309 – $410

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.