HCPCS A9562

Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries

Current codeMyocardial Perfusion Scan39 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 A9562 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,623 – $2,1822 plans$889 – $1,027$2,223 – $2,567
Cascade Valley HospitalArlington$41.76 – $4917 plans$393$491
Deaconess Medical CenterSpokaneFile dated 2026-08-27$718 – $1,5125 plans$773 – $828$1,933 – $2,071
EvergreenHealth Medical CenterKirkland$262 – $1,86310 plans$655$819
Highline Medical CenterBurienFile dated 2026-02-28$625 – $1,3094 plans$444$1,455
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,097 – $2,9193 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,405 – $1,7706 plans$870$2,175
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,453 – $1,5882 plans$796 – $870$1,991 – $2,175
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,5882 plans$870$2,175
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,453 – $1,5882 plans$796 – $870$1,991 – $2,175
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$718 – $1,4915 plans$773 – $828$1,933 – $2,071
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$633$1,266
PeaceHealth Peace Island Medical CenterFriday Harbor—$548$844
PeaceHealth Southwest Medical CenteVancouver—$548$844
PeaceHealth St John Medical CenterLongview—$548$844
PeaceHealth St Joseph Medical CenterBellingham—$548$844
PeaceHealth United General Medical CenterSedro Woolley—$548$844
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$9721 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,305 – $2,9192 plans$682$1,311
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$9721 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$9721 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$682$1,311
Seattle Children's HospitalSeattle$975 – $1,73398 plans$1,806$1,806
Skagit Valley HospitalMount Vernon$70.89 – $9307 plans$393 – $783$491 – $979
St Anthony HospitalGig HarborFile dated 2026-02-28$1,047 – $1,0912 plans$442$1,455
St Clare HospitalLakewoodFile dated 2026-02-28$1,047 – $1,0912 plans$419$1,455
St Elizabeth HospitalEnumclawFile dated 2026-02-28$484 – $1,3095 plans$514$1,455
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,047 – $1,0912 plans$456$1,455
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,047 – $1,0912 plans$482$1,455
St Michael Medical CenterSilverdaleFile dated 2026-02-28$931 – $1,30910 plans$642$1,455
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$9721 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$9721 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$9721 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$9721 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$485 – $1,5882 plans$265 – $870$664 – $2,175
Trios HealthKennewick——$1,835
Virginia Mason Medical CenterSeattle$578 – $7719 plans$492$964
WhidbeyHealth Medical CenterCoupeville—$1,036$1,036
Yakima Valley MemorialYakimaFile dated 2026-08-27$32.05 – $1,6654 plans$26.16 – $784$65.40 – $1,959

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.