HCPCS A9538
Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries
Current codeMyocardial Perfusion Scan37 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 | $475 – $553 | $260 | $651 |
| Cascade Valley Hospital | $18.02 – $1,800 | $170 | $212 |
| Deaconess Medical Center | $178 – $352 | $191 – $193 | $478 – $482 |
| Highline Medical Center | $87.10 – $182 | $61.85 | $203 |
| Island Hospital | $3.76 – $44.65 | $47.00 | $47.00 |
| Kadlec Regional Medical Center | $90.68 – $146 | — | — |
| Mary Bridge Children's Hospital | $318 – $400 | $197 | $492 |
| MultiCare Auburn Medical Center | $359 | $197 | $492 |
| MultiCare Covington Medical Center | $359 | $197 | $492 |
| MultiCare Good Samaritan Hospital | $359 | $197 | $492 |
| MultiCare Valley Hospital | $179 – $347 | $193 | $482 |
| Overlake Hospital Medical Center & Clinics | $122 – $129 | $120 | $240 |
| PeaceHealth Peace Island Medical Center | — | $147 | $226 |
| PeaceHealth Southwest Medical Cente | — | $147 | $226 |
| PeaceHealth St John Medical Center | — | $147 | $226 |
| PeaceHealth St Joseph Medical Center | — | $147 | $226 |
| PeaceHealth United General Medical Center | — | $147 | $226 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $80.32 | — | — |
| Providence Centralia Hospital | $115 – $146 | $147 | $283 |
| Providence Holy Family Hospital | $80.32 | — | — |
| Providence Regional Medical Center Everett | $80.32 | — | — |
| Providence St Peter Hospital | — | $147 | $283 |
| Skagit Valley Hospital | $30.59 – $201 | $170 | $212 |
| St Anthony Hospital | $146 – $152 | $61.61 | $203 |
| St Clare Hospital | $146 – $152 | $58.39 | $203 |
| St Elizabeth Hospital | $67.45 – $182 | $71.58 | $203 |
| St Francis Community Hospital | $146 – $152 | $63.57 | $203 |
| St Joseph Medical Center | $146 – $152 | $67.09 | $203 |
| St Michael Medical Center | $130 – $182 | $89.40 | $203 |
| Swedish Edmonds Hospital | $80.32 | — | — |
| Swedish Issaquah | $80.32 | — | — |
| Swedish Medical Center | $80.32 | — | — |
| Swedish Medical Center / Cherry Hill | $80.32 | — | — |
| Tacoma General Allenmore Hospital | $359 | $197 | $492 |
| Virginia Mason Medical Center | $166 – $222 | $141 | $277 |
| WhidbeyHealth Medical Center | — | $291 | $291 |
| Yakima Valley Memorial | $71.54 – $124 | $58.40 | $146 |
Medicare (traditional) reference
CMS publishes no national amount for this code.