HCPCS A9554
Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
Current code25 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 | $650 – $1,178 | — | — |
| Deaconess Medical Center | $650 – $2,897 | — | — |
| Harborview Medical Center | $1,039 – $1,411 | — | — |
| Island Hospital | $1,214 – $1,366 | — | — |
| Kadlec Regional Medical Center | $53.09 – $1,825 | — | — |
| Mary Bridge Children's Hospital | $5,109 | — | — |
| MultiCare Auburn Medical Center | $650 – $3,008 | — | — |
| MultiCare Covington Medical Center | $650 – $3,008 | — | — |
| MultiCare Good Samaritan Hospital | $650 – $3,008 | — | — |
| MultiCare Valley Hospital | $650 – $2,891 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $71.15 – $1,709 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $43.89 – $2,155 | — | — |
| Providence Centralia Hospital | $116 – $2,429 | — | — |
| Providence Holy Family Hospital | $43.89 – $2,382 | — | — |
| Providence Regional Medical Center Everett | $43.89 – $2,015 | — | — |
| Swedish Edmonds Hospital | $43.89 – $2,339 | — | — |
| Swedish Issaquah | $43.89 – $2,756 | — | — |
| Swedish Medical Center | $43.89 – $2,756 | — | — |
| Swedish Medical Center / Cherry Hill | $43.89 – $2,756 | — | — |
| Tacoma General Allenmore Hospital | $650 – $3,008 | — | — |
| University of Washington Medical Ctr | $1,039 – $2,037 | — | — |
| Virginia Mason Medical Center | $594 – $792 | $505 | $990 |
| Wellfound Behavioral Health Hospital | $1,639 | — | — |
| Yakima Valley Memorial | $1,019 – $1,806 | — | — |
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)
- $650 (APC 0863)
- Surgery center payment (national)
- $650