HCPCS A9557
Technetium tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries
Current codeMyocardial Perfusion Scan36 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $3,802 | $9,504 |
| Cascade Valley Hospital | $739 – $1,644 | $1,313 | $1,641 |
| Deaconess Medical Center | — | $3,028 | $7,569 |
| EvergreenHealth Medical Center | — | $3,406 | $4,257 |
| Highline Medical Center | — | $1,030 | $3,372 |
| Mary Bridge Children's Hospital | — | $3,802 | $9,504 |
| MultiCare Auburn Medical Center | — | $3,802 | $9,504 |
| MultiCare Covington Medical Center | — | $3,802 | $9,504 |
| MultiCare Good Samaritan Hospital | — | $3,768 – $3,802 | $9,421 – $9,504 |
| MultiCare Valley Hospital | — | $3,028 | $7,569 |
| Overlake Hospital Medical Center & Clinics | — | $2,823 | $5,646 |
| Seattle Children's Hospital | $1,243 – $1,573 | $4,838 | $4,838 |
| Skagit Valley Hospital | $266 | $1,313 – $2,570 | $1,641 – $3,213 |
| St Anthony Hospital | — | $1,026 | $3,372 |
| St Clare Hospital | — | $972 | $3,372 |
| St Elizabeth Hospital | $944 – $1,118 | $1,192 | $3,372 |
| St Francis Community Hospital | — | $1,058 | $3,372 |
| St Joseph Medical Center | — | $1,117 | $3,372 |
| St Michael Medical Center | — | $1,488 | $3,372 |
| Tacoma General Allenmore Hospital | — | $3,802 | $9,504 |
| Virginia Mason Medical Center | — | $2,807 | $5,504 |
| Yakima Valley Memorial | — | $3,546 | $8,864 |
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