HCPCS A9552
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
Current codePET- Oncology38 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $454 | $454 |
| Capital Medical Center | — | $594 – $686 | $1,486 – $1,716 |
| Cascade Valley Hospital | — | $280 | $350 |
| Deaconess Medical Center | — | $341 – $366 | $853 – $914 |
| Highline Medical Center | — | $497 | $1,628 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $378 | $946 |
| MultiCare Auburn Medical Center | — | $378 | $946 |
| MultiCare Covington Medical Center | — | $378 | $946 |
| MultiCare Good Samaritan Hospital | — | $347 – $378 | $867 – $946 |
| MultiCare Valley Hospital | — | $366 | $914 |
| Overlake Hospital Medical Center & Clinics | — | $211 | $423 |
| PeaceHealth Peace Island Medical Center | — | $1,099 | $1,692 |
| PeaceHealth Southwest Medical Cente | — | $636 – $1,099 | $979 – $1,692 |
| PeaceHealth St John Medical Center | — | $636 – $1,099 | $979 – $1,692 |
| PeaceHealth St Joseph Medical Center | — | $1,099 | $1,692 |
| PeaceHealth United General Medical Center | — | $1,099 | $1,692 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | $52.00 | $100 |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | $52.00 | $100 |
| Seattle Children's Hospital | $162 | $641 | $641 |
| Skagit Valley Hospital | — | $280 – $885 | $350 – $1,106 |
| St Anthony Hospital | — | $495 | $1,628 |
| St Clare Hospital | — | $469 | $1,628 |
| St Elizabeth Hospital | — | $575 | $1,628 |
| St Francis Community Hospital | — | $511 | $1,628 |
| St Joseph Medical Center | — | $539 | $1,628 |
| St Michael Medical Center | — | $718 | $1,628 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $347 – $378 | $867 – $946 |
| Virginia Mason Medical Center | — | $184 | $360 |
| WhidbeyHealth Medical Center | — | $1,029 | $1,029 |
| Yakima Valley Memorial | — | $40.24 – $278 | $101 – $696 |
Medicare (traditional) reference
CMS publishes no national amount for this code.