HCPCS A9557

Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries

Current codeMyocardial Perfusion Scan36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS A9557 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$776 – $24,91010 plans$3,802$9,504
Cascade Valley HospitalArlington$139 – $1,6419 plans$1,313$1,641
Deaconess Medical CenterSpokaneFile dated 2026-08-27$776 – $16,55113 plans$3,028$7,569
EvergreenHealth Medical CenterKirkland$759 – $21,95911 plans$3,406$4,257
Harborview Medical CenterSeattleFile dated 2026-04-01$1,241 – $1,6843 plans——
Highline Medical CenterBurienFile dated 2026-02-28$684 – $3,12113 plans$1,030$3,372
Island HospitalAnacortes$1,449 – $1,6314 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,311 – $5,0397 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$776 – $40,12411 plans$3,802$9,504
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$776 – $8,61010 plans$3,802$9,504
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$776 – $8,61010 plans$3,802$9,504
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$776 – $8,61010 plans$3,768 – $3,802$9,421 – $9,504
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$776 – $16,55113 plans$3,028$7,569
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$615 – $7,4058 plans$2,823$5,646
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$467 – $2,5738 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,311 – $2,9006 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$467 – $2,8438 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$467 – $2,4058 plans——
Seattle Children's HospitalSeattle$2,612 – $4,64498 plans$4,838$4,838
Skagit Valley HospitalMount Vernon$237 – $3,0529 plans$1,313 – $2,570$1,641 – $3,213
St Anthony HospitalGig HarborFile dated 2026-02-28$684 – $3,41012 plans$1,026$3,372
St Clare HospitalLakewoodFile dated 2026-02-28$684 – $3,41012 plans$972$3,372
St Elizabeth HospitalEnumclawFile dated 2026-02-28$684 – $3,0356 plans$1,192$3,372
St Francis Community HospitalFederal WayFile dated 2026-02-28$684 – $3,41012 plans$1,058$3,372
St Joseph Medical CenterTacomaFile dated 2026-02-28$684 – $3,41012 plans$1,117$3,372
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1,594 – $3,03515 plans$1,488$3,372
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$467 – $2,7927 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$467 – $3,2898 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$467 – $3,28910 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$467 – $3,28910 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$776 – $8,61010 plans$3,802$9,504
University of Washington Medical CtrSeattleFile dated 2026-04-01$875 – $2,4328 plans——
Virginia Mason Medical CenterSeattle$684 – $4,40310 plans$2,807$5,504
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,9571 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,216 – $7,5349 plans$3,546$8,864

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$776 (APC 0774)
Surgery center payment (national)
$776