HCPCS A9562
Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
Current codeMyocardial Perfusion Scan39 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,623 – $2,182 | $889 – $1,027 | $2,223 – $2,567 |
| Cascade Valley Hospital | $41.76 – $491 | $393 | $491 |
| Deaconess Medical Center | $718 – $1,512 | $773 – $828 | $1,933 – $2,071 |
| EvergreenHealth Medical Center | $262 – $1,863 | $655 | $819 |
| Highline Medical Center | $625 – $1,309 | $444 | $1,455 |
| Kadlec Regional Medical Center | $1,097 – $2,919 | — | — |
| Mary Bridge Children's Hospital | $1,405 – $1,770 | $870 | $2,175 |
| MultiCare Auburn Medical Center | $1,453 – $1,588 | $796 – $870 | $1,991 – $2,175 |
| MultiCare Covington Medical Center | $1,588 | $870 | $2,175 |
| MultiCare Good Samaritan Hospital | $1,453 – $1,588 | $796 – $870 | $1,991 – $2,175 |
| MultiCare Valley Hospital | $718 – $1,491 | $773 – $828 | $1,933 – $2,071 |
| Overlake Hospital Medical Center & Clinics | — | $633 | $1,266 |
| PeaceHealth Peace Island Medical Center | — | $548 | $844 |
| PeaceHealth Southwest Medical Cente | — | $548 | $844 |
| PeaceHealth St John Medical Center | — | $548 | $844 |
| PeaceHealth St Joseph Medical Center | — | $548 | $844 |
| PeaceHealth United General Medical Center | — | $548 | $844 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $972 | — | — |
| Providence Centralia Hospital | $2,305 – $2,919 | $682 | $1,311 |
| Providence Holy Family Hospital | $972 | — | — |
| Providence Regional Medical Center Everett | $972 | — | — |
| Providence St Peter Hospital | — | $682 | $1,311 |
| Seattle Children's Hospital | $975 – $1,733 | $1,806 | $1,806 |
| Skagit Valley Hospital | $70.89 – $930 | $393 – $783 | $491 – $979 |
| St Anthony Hospital | $1,047 – $1,091 | $442 | $1,455 |
| St Clare Hospital | $1,047 – $1,091 | $419 | $1,455 |
| St Elizabeth Hospital | $484 – $1,309 | $514 | $1,455 |
| St Francis Community Hospital | $1,047 – $1,091 | $456 | $1,455 |
| St Joseph Medical Center | $1,047 – $1,091 | $482 | $1,455 |
| St Michael Medical Center | $931 – $1,309 | $642 | $1,455 |
| Swedish Edmonds Hospital | $972 | — | — |
| Swedish Issaquah | $972 | — | — |
| Swedish Medical Center | $972 | — | — |
| Swedish Medical Center / Cherry Hill | $972 | — | — |
| Tacoma General Allenmore Hospital | $485 – $1,588 | $265 – $870 | $664 – $2,175 |
| Trios Health | — | — | $1,835 |
| Virginia Mason Medical Center | $578 – $771 | $492 | $964 |
| WhidbeyHealth Medical Center | — | $1,036 | $1,036 |
| Yakima Valley Memorial | $32.05 – $1,665 | $26.16 – $784 | $65.40 – $1,959 |
Medicare (traditional) reference
CMS publishes no national amount for this code.