HCPCS A9539 at St Elizabeth Hospital

Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries

St Elizabeth Hospital, Enumclaw

Description from CMS's HCPCS Level II code file.

What St Elizabeth Hospital publishes for this code: as an outpatient

St Elizabeth Hospital’s prices for HCPCS A9539, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$43.29 – $1175 plans	—
Medicare AdvantageInsurer rates	$23.40 – $28.6012 plans	—
Medicaid managed careInsurer rates	$22.10 – $26.915 plans	—
Cash pricePaying yourself, without insurance	$45.94	—
List priceBefore any discount; few people pay it	$130	—

Lowest and highest amounts St Elizabeth Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.

What St Elizabeth Hospital publishes for this code: during a hospital stay

St Elizabeth Hospital’s prices for HCPCS A9539, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$46.80 – $1178 plans	—
Medicaid managed careInsurer rates	$36.40 – $43.135 plans	—
Cash pricePaying yourself, without insurance	$45.94	—
List priceBefore any discount; few people pay it	$130	—

Lowest and highest amounts St Elizabeth Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS A9539 at St Elizabeth Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS A9539 at every Washington hospital, with Medicare’s reference amounts.