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Every billing code / Imaging / Nuclear

HCPCS A9540

Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries

Current codeMyocardial Perfusion Scan40 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$294 – $3602 plans$147 – $170$367 – $424
Cascade Valley HospitalArlington$33.59 – $6,8358 plans$316$395
Deaconess Medical CenterSpokaneFile dated 2026-08-27$774 – $8042 plans$436 – $440$1,090 – $1,101
EvergreenHealth Medical CenterKirkland$30.60 – $20611 plans$178$222
Highline Medical CenterBurienFile dated 2026-02-28$97.46 – $2044 plans$69.21$227
Island HospitalAnacortes$17.44 – $20713 plans$218$218
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$683 – $8356 plans$418$1,044
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$611 – $7623 plans$414 – $418$1,035 – $1,044
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$611 – $7623 plans$414 – $418$1,035 – $1,044
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$611 – $7623 plans$414 – $418$1,035 – $1,044
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$785 – $7932 plans$436 – $440$1,090 – $1,101
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$370 – $1,625$740 – $3,251
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$334$642
Seattle Children's HospitalSeattle$1,488 – $2,64598 plans$2,755$2,755
Skagit Valley HospitalMount Vernon$57.03 – $5297 plans$316 – $446$395 – $557
St Anthony HospitalGig HarborFile dated 2026-02-28$163 – $1702 plans$68.94$227
St Clare HospitalLakewoodFile dated 2026-02-28$163 – $1702 plans$65.33$227
St Elizabeth HospitalEnumclawFile dated 2026-02-28$81.60 – $2048 plans$80.10$227
St Francis Community HospitalFederal WayFile dated 2026-02-28$163 – $1702 plans$71.13$227
St Joseph Medical CenterTacomaFile dated 2026-02-28$163 – $1702 plans$75.07$227
St Michael Medical CenterSilverdaleFile dated 2026-02-28$143 – $20410 plans$100$227
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$611 – $7623 plans$414 – $418$1,035 – $1,044
Trios HealthKennewick——$617
Virginia Mason Medical CenterSeattle$346 – $4324 plans$275$540
Yakima Valley MemorialYakimaFile dated 2026-08-27$494 – $5,3571 plan$353 – $3,826$882 – $9,566

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.