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
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) |
|---|---|---|---|
| Capital Medical Center | — | $260 | $651 |
| Cascade Valley Hospital | $212 | $170 | $212 |
| Deaconess Medical Center | — | $191 – $193 | $478 – $482 |
| Highline Medical Center | — | $61.85 | $203 |
| Island Hospital | $23.50 | $47.00 | $47.00 |
| Mary Bridge Children's Hospital | — | $197 | $492 |
| MultiCare Auburn Medical Center | — | $197 | $492 |
| MultiCare Covington Medical Center | — | $197 | $492 |
| MultiCare Good Samaritan Hospital | — | $197 | $492 |
| MultiCare Valley Hospital | — | $193 | $482 |
| Overlake Hospital Medical Center & Clinics | — | $120 | $240 |
| Providence Centralia Hospital | — | $147 | $283 |
| Providence St Peter Hospital | — | $147 | $283 |
| Skagit Valley Hospital | — | $170 | $212 |
| St Anthony Hospital | — | $61.61 | $203 |
| St Clare Hospital | — | $58.39 | $203 |
| St Elizabeth Hospital | $56.72 – $67.19 | $71.58 | $203 |
| St Francis Community Hospital | — | $63.57 | $203 |
| St Joseph Medical Center | — | $67.09 | $203 |
| St Michael Medical Center | — | $89.40 | $203 |
| Tacoma General Allenmore Hospital | — | $197 | $492 |
| Virginia Mason Medical Center | — | $141 | $277 |
| Yakima Valley Memorial | — | $58.40 | $146 |
Medicare (traditional) reference
CMS publishes no national amount for this code.