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
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $889 – $1,027 | $2,223 – $2,567 |
| Cascade Valley Hospital | — | $393 | $491 |
| Deaconess Medical Center | — | $773 – $828 | $1,933 – $2,071 |
| EvergreenHealth Medical Center | — | $655 | $819 |
| Highline Medical Center | — | $444 | $1,455 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $870 | $2,175 |
| MultiCare Auburn Medical Center | — | $796 – $870 | $1,991 – $2,175 |
| MultiCare Covington Medical Center | — | $870 | $2,175 |
| MultiCare Good Samaritan Hospital | — | $796 – $870 | $1,991 – $2,175 |
| MultiCare Valley Hospital | — | $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. | — | — | — |
| Providence Centralia Hospital | — | $682 | $1,311 |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | $682 | $1,311 |
| Seattle Children's Hospital | $455 | $1,806 | $1,806 |
| Skagit Valley Hospital | — | $393 – $783 | $491 – $979 |
| St Anthony Hospital | — | $442 | $1,455 |
| St Clare Hospital | — | $419 | $1,455 |
| St Elizabeth Hospital | — | $514 | $1,455 |
| St Francis Community Hospital | — | $456 | $1,455 |
| St Joseph Medical Center | — | $482 | $1,455 |
| St Michael Medical Center | — | $642 | $1,455 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $265 – $870 | $664 – $2,175 |
| Trios Health | — | — | $1,835 |
| Virginia Mason Medical Center | — | $492 | $964 |
| WhidbeyHealth Medical Center | — | $1,036 | $1,036 |
| Yakima Valley Memorial | — | $26.16 – $784 | $65.40 – $1,959 |
Medicare (traditional) reference
CMS publishes no national amount for this code.