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
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 | $637 – $700 | — | — |
| Deaconess Medical Center | $637 – $700 | — | — |
| Harborview Medical Center | $650 – $715 | — | — |
| Island Hospital | $759 – $804 | — | — |
| Kadlec Regional Medical Center | $650 – $780 | — | — |
| Mary Bridge Children's Hospital | $637 – $700 | — | — |
| MultiCare Auburn Medical Center | $637 – $700 | — | — |
| MultiCare Covington Medical Center | $637 – $700 | — | — |
| MultiCare Good Samaritan Hospital | $637 – $700 | — | — |
| MultiCare Valley Hospital | $656 – $700 | — | — |
| Olympic Medical Center | $797 – $1,024 | — | — |
| Overlake Hospital Medical Center & Clinics | $650 – $676 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $650 – $780 | — | — |
| Providence Centralia Hospital | $650 – $1,039 | — | — |
| Providence Holy Family Hospital | $650 – $715 | — | — |
| Providence Regional Medical Center Everett | $650 – $715 | — | — |
| Swedish Edmonds Hospital | $650 – $780 | — | — |
| Swedish Issaquah | $650 – $780 | — | — |
| Swedish Medical Center | $650 – $780 | — | — |
| Swedish Medical Center / Cherry Hill | $650 – $780 | — | — |
| Tacoma General Allenmore Hospital | $637 – $700 | — | — |
| University of Washington Medical Ctr | $650 – $715 | — | — |
| Virginia Mason Medical Center | — | $505 | $990 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $637 – $713 | — | — |
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