HCPCS A9547
Indium in-111 oxyquinoline, diagnostic, per 0.5 millicurie
Current code34 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $815 – $896 | $2,077 – $5,148 | $5,192 – $12,870 |
| Cascade Valley Hospital | $773 – $811 | $1,767 | $2,208 |
| Deaconess Medical Center | $815 – $896 | $4,614 | $11,536 |
| EvergreenHealth Medical Center | — | $5,481 | $6,851 |
| Harborview Medical Center | $831 – $915 | — | — |
| Island Hospital | $971 – $1,030 | — | — |
| Kadlec Regional Medical Center | $831 – $998 | — | — |
| Mary Bridge Children's Hospital | $815 – $896 | $5,148 | $12,870 |
| MultiCare Auburn Medical Center | $815 – $896 | $5,148 | $12,870 |
| MultiCare Covington Medical Center | $815 – $896 | $5,148 | $12,870 |
| MultiCare Good Samaritan Hospital | $815 – $896 | $5,148 | $12,870 |
| MultiCare Valley Hospital | $839 – $896 | $4,614 | $11,536 |
| Olympic Medical Center | $1,020 – $1,311 | — | — |
| Overlake Hospital Medical Center & Clinics | $831 – $865 | — | — |
| PeaceHealth Peace Island Medical Center | — | $4,055 | $6,239 |
| PeaceHealth Southwest Medical Cente | $831 – $956 | $4,055 | $6,239 |
| PeaceHealth St John Medical Center | $649 – $915 | $4,055 | $6,239 |
| PeaceHealth St Joseph Medical Center | $831 – $915 | $2,047 – $4,055 | $3,149 – $6,239 |
| PeaceHealth United General Medical Center | — | $4,055 | $6,239 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $831 – $998 | — | — |
| Providence Centralia Hospital | $831 – $1,330 | $4,782 | $9,196 |
| Providence Holy Family Hospital | $831 – $915 | — | — |
| Providence Regional Medical Center Everett | $831 – $915 | — | — |
| Providence St Peter Hospital | — | $4,782 | $9,196 |
| Skagit Valley Hospital | $773 – $834 | $1,767 – $3,374 | $2,208 – $4,218 |
| Swedish Edmonds Hospital | $831 – $998 | — | — |
| Swedish Issaquah | $831 – $998 | — | — |
| Swedish Medical Center | $831 – $998 | — | — |
| Swedish Medical Center / Cherry Hill | $831 – $998 | — | — |
| Tacoma General Allenmore Hospital | $815 – $896 | $5,148 | $12,870 |
| University of Washington Medical Ctr | $831 – $915 | — | — |
| Virginia Mason Medical Center | $541 – $811 | $2,517 | $4,935 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $815 – $913 | $2,547 | $6,367 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $831 (APC 0770)
- Surgery center payment (national)
- $831