HCPCS A9548
Indium in-111 pentetate, diagnostic, per 0.5 millicurie
Current code41 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 | — | $3,225 | $8,062 |
| Deaconess Medical Center | — | $4,855 – $4,964 | $12,138 – $12,410 |
| EvergreenHealth Medical Center | — | $2,658 | $3,323 |
| Highline Medical Center | — | $651 | $2,131 |
| Mary Bridge Children's Hospital | — | $5,374 | $13,435 |
| MultiCare Auburn Medical Center | — | $5,374 | $13,435 |
| MultiCare Covington Medical Center | — | $5,374 | $13,435 |
| MultiCare Good Samaritan Hospital | — | $5,374 | $13,435 |
| MultiCare Valley Hospital | — | $4,855 | $12,138 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $5,235 | $7,479 |
| Providence Holy Family Hospital | — | $5,235 | $7,479 |
| Providence St Peter Hospital | — | $3,889 | $7,479 |
| Seattle Children's Hospital | — | $7,256 | $7,256 |
| Skagit Valley Hospital | — | $1,976 | $2,470 |
| St Anthony Hospital | — | $648 | $2,131 |
| St Clare Hospital | — | $614 | $2,131 |
| St Elizabeth Hospital | $597 – $707 | $753 | $2,131 |
| St Francis Community Hospital | — | $669 | $2,131 |
| St Joseph Medical Center | — | $706 | $2,131 |
| St Michael Medical Center | — | $941 | $2,131 |
| Tacoma General Allenmore Hospital | — | $5,374 | $13,435 |
| Virginia Mason Medical Center | — | $966 | $1,894 |
| Yakima Valley Memorial | — | $1,670 – $3,723 | $4,176 – $9,309 |
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)
- $746 (APC 0771)
- Surgery center payment (national)
- $746