HCPCS A9558

Xenon xe-133 gas, diagnostic, per 10 millicuries

Current code17 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 A9558 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$263 – $5185 plans$284$709
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$344 – $9863 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$263 – $5105 plans$284$709
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$484 – $5153 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$251 – $441$386 – $679
PeaceHealth Southwest Medical CenteVancouver—$251 – $441$386 – $679
PeaceHealth St John Medical CenterLongview—$251 – $441$386 – $679
PeaceHealth St Joseph Medical CenterBellingham—$251 – $441$386 – $679
PeaceHealth United General Medical CenterSedro Woolley—$251 – $441$386 – $679
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2901 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$778 – $9862 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2901 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2901 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2901 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$2901 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$2901 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2901 plan——

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

CMS publishes no national amount for this code.