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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $161 | $161 |
| Capital Medical Center | — | $90.00 – $248 | $225 – $619 |
| Cascade Valley Hospital | $168 | $134 | $168 |
| Deaconess Medical Center | — | $84.40 – $85.20 | $211 – $213 |
| EvergreenHealth Medical Center | — | $223 | $279 |
| Highline Medical Center | — | $7.67 – $38.27 | $25.10 – $125 |
| Island Hospital | $48.50 | $97.00 | $97.00 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $90.80 | $227 |
| MultiCare Auburn Medical Center | — | $90.00 – $90.80 | $225 – $227 |
| MultiCare Covington Medical Center | — | $90.80 | $227 |
| MultiCare Good Samaritan Hospital | — | $90.00 – $90.80 | $225 – $227 |
| MultiCare Valley Hospital | — | $84.40 – $85.20 | $211 – $213 |
| Overlake Hospital Medical Center & Clinics | — | $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. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | $79.52 | $153 |
| Seattle Children's Hospital | $503 – $636 | $1,955 | $1,955 |
| Skagit Valley Hospital | — | $134 – $670 | $168 – $837 |
| St Anthony Hospital | — | $7.64 – $38.11 | $25.10 – $125 |
| St Clare Hospital | — | $7.24 – $36.12 | $25.10 – $125 |
| St Elizabeth Hospital | $4.27 – $25.94 | $8.87 – $44.28 | $25.10 – $125 |
| St Francis Community Hospital | — | $7.88 – $39.33 | $25.10 – $125 |
| St Joseph Medical Center | — | $8.32 – $41.50 | $25.10 – $125 |
| St Michael Medical Center | — | $11.08 – $55.31 | $25.10 – $125 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $90.00 – $90.80 | $225 – $227 |
| Trios Health | — | — | $610 |
| Virginia Mason Medical Center | — | $86.19 | $169 |
| WhidbeyHealth Medical Center | — | $287 | $287 |
| Yakima Valley Memorial | — | $124 – $164 | $309 – $410 |
Medicare (traditional) reference
CMS publishes no national amount for this code.