HCPCS A9541
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
Current codeMyocardial Perfusion Scan40 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 | $288 – $1,387 | $158 – $653 | $395 – $1,632 |
| Cascade Valley Hospital | $22.67 – $4,557 | $213 – $280 | $267 – $350 |
| Deaconess Medical Center | $590 – $1,171 | $636 – $642 | $1,589 – $1,604 |
| EvergreenHealth Medical Center | $70.40 – $801 | $176 | $220 |
| Highline Medical Center | $1.05 – $30.92 | $2.11 – $10.49 | $1.75 – $34.35 |
| Island Hospital | $10.56 – $125 | $132 | $132 |
| Kadlec Regional Medical Center | $379 – $2,855 | — | — |
| Mary Bridge Children's Hospital | $1,054 – $1,328 | $653 | $1,632 |
| MultiCare Auburn Medical Center | $1,134 – $1,191 | $622 – $653 | $1,554 – $1,632 |
| MultiCare Covington Medical Center | $1,191 | $653 | $1,632 |
| MultiCare Good Samaritan Hospital | $1,134 – $1,191 | $622 – $653 | $1,554 – $1,632 |
| MultiCare Valley Hospital | $590 – $1,155 | $636 – $642 | $1,589 – $1,604 |
| Overlake Hospital Medical Center & Clinics | $507 – $540 | $235 | $469 |
| PeaceHealth Peace Island Medical Center | — | $148 – $418 | $227 – $643 |
| PeaceHealth Southwest Medical Cente | — | $148 – $418 | $227 – $643 |
| PeaceHealth St John Medical Center | — | $148 – $418 | $227 – $643 |
| PeaceHealth St Joseph Medical Center | — | $148 – $418 | $227 – $643 |
| PeaceHealth United General Medical Center | — | $148 – $418 | $227 – $643 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $335 | — | — |
| Providence Centralia Hospital | $2,254 – $2,855 | $214 – $429 | $411 – $825 |
| Providence Holy Family Hospital | $335 | — | — |
| Providence Regional Medical Center Everett | $335 | — | — |
| Providence St Peter Hospital | — | $214 – $429 | $411 – $825 |
| Seattle Children's Hospital | $332 – $598 | $615 – $623 | $615 – $623 |
| Skagit Valley Hospital | $38.48 – $523 | $213 – $441 | $267 – $551 |
| St Anthony Hospital | $1.26 – $25.77 | $2.10 – $10.45 | $1.75 – $34.35 |
| St Clare Hospital | $1.26 – $25.77 | $1.99 – $9.91 | $1.75 – $34.35 |
| St Elizabeth Hospital | $1.02 – $30.92 | $1.08 – $12.14 | $1.75 – $34.35 |
| St Francis Community Hospital | $1.26 – $25.77 | $2.17 – $10.78 | $1.75 – $34.35 |
| St Joseph Medical Center | $1.26 – $25.77 | $1.02 – $11.38 | $1.75 – $34.35 |
| St Michael Medical Center | $1.12 – $30.92 | $1.35 – $15.17 | $1.75 – $34.35 |
| Swedish Edmonds Hospital | $335 | — | — |
| Swedish Issaquah | $335 | — | — |
| Swedish Medical Center | $335 | — | — |
| Swedish Medical Center / Cherry Hill | $335 | — | — |
| Tacoma General Allenmore Hospital | $1,134 – $1,191 | $622 – $653 | $1,554 – $1,632 |
| Trios Health | — | — | $610 |
| Virginia Mason Medical Center | $227 – $302 | $193 | $378 |
| WhidbeyHealth Medical Center | — | $717 | $717 |
| Yakima Valley Memorial | $13.67 – $500 | $11.16 – $235 | $27.90 – $588 |
Medicare (traditional) reference
CMS publishes no national amount for this code.