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
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 | $760 – $836 | $3,802 | $9,504 |
| Cascade Valley Hospital | $684 – $718 | $1,313 | $1,641 |
| Deaconess Medical Center | $760 – $836 | $3,028 | $7,569 |
| EvergreenHealth Medical Center | — | $3,406 | $4,257 |
| Harborview Medical Center | $776 – $853 | — | — |
| Highline Medical Center | $761 – $875 | $1,030 | $3,372 |
| Island Hospital | $906 – $960 | — | — |
| Kadlec Regional Medical Center | $776 – $931 | — | — |
| Mary Bridge Children's Hospital | $760 – $836 | $3,802 | $9,504 |
| MultiCare Auburn Medical Center | $760 – $836 | $3,802 | $9,504 |
| MultiCare Covington Medical Center | $760 – $836 | $3,802 | $9,504 |
| MultiCare Good Samaritan Hospital | $760 – $836 | $3,768 – $3,802 | $9,421 – $9,504 |
| MultiCare Valley Hospital | $783 – $836 | $3,028 | $7,569 |
| Olympic Medical Center | $951 – $1,223 | — | — |
| Overlake Hospital Medical Center & Clinics | $776 – $807 | $2,823 | $5,646 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $776 – $931 | — | — |
| Providence Centralia Hospital | $776 – $1,241 | — | — |
| Providence Holy Family Hospital | $776 – $853 | — | — |
| Providence Regional Medical Center Everett | $776 – $853 | — | — |
| Seattle Children's Hospital | — | $4,838 | $4,838 |
| Skagit Valley Hospital | $684 – $739 | $1,313 – $2,570 | $1,641 – $3,213 |
| St Anthony Hospital | $775 – $891 | $1,026 | $3,372 |
| St Clare Hospital | $775 – $891 | $972 | $3,372 |
| St Elizabeth Hospital | $607 – $742 | $1,192 | $3,372 |
| St Francis Community Hospital | $761 – $875 | $1,058 | $3,372 |
| St Joseph Medical Center | $775 – $891 | $1,117 | $3,372 |
| St Michael Medical Center | $797 – $861 | $1,488 | $3,372 |
| Swedish Edmonds Hospital | $776 – $931 | — | — |
| Swedish Issaquah | $776 – $931 | — | — |
| Swedish Medical Center | $776 – $931 | — | — |
| Swedish Medical Center / Cherry Hill | $776 – $931 | — | — |
| Tacoma General Allenmore Hospital | $760 – $836 | $3,802 | $9,504 |
| University of Washington Medical Ctr | $776 – $853 | — | — |
| Virginia Mason Medical Center | $479 – $718 | $2,807 | $5,504 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $760 – $851 | $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