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$7,603 – $8,0782 plans$3,802$9,504
Cascade Valley HospitalArlington$139 – $1,6419 plans$1,313$1,641
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5,374 – $5,5252 plans$3,028$7,569
EvergreenHealth Medical CenterKirkland$759 – $21,95911 plans$3,406$4,257
Highline Medical CenterBurienFile dated 2026-02-28$1,450 – $3,0354 plans$1,030$3,372
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$6,216 – $7,6036 plans$3,802$9,504
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5,607 – $6,9383 plans$3,802$9,504
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5,607 – $6,9383 plans$3,802$9,504
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5,558 – $6,9383 plans$3,768 – $3,802$9,421 – $9,504
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$5,4502 plans$3,028$7,569
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$2,823$5,646
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$2,428 – $2,5292 plans$1,026$3,372
St Clare HospitalLakewoodFile dated 2026-02-28$2,428 – $2,5292 plans$972$3,372
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,214 – $3,0358 plans$1,192$3,372
St Francis Community HospitalFederal WayFile dated 2026-02-28$2,428 – $2,5292 plans$1,058$3,372
St Joseph Medical CenterTacomaFile dated 2026-02-28$2,428 – $2,5292 plans$1,117$3,372
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,124 – $3,03510 plans$1,488$3,372
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$5,607 – $6,9383 plans$3,802$9,504
Virginia Mason Medical CenterSeattle$3,525 – $4,4034 plans$2,807$5,504
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,9641 plan$3,546$8,864

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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