HCPCS A9567
Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
Current codeMyocardial Perfusion Scan28 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 | $426 – $496 | $233 | $583 |
| Cascade Valley Hospital | $32.57 – $6,525 | $307 | $383 |
| Deaconess Medical Center | $455 – $894 | $490 | $1,224 |
| EvergreenHealth Medical Center | $17.70 – $159 | $137 | $171 |
| Highline Medical Center | $147 – $308 | $104 | $342 |
| Kadlec Regional Medical Center | $61.14 – $77.44 | — | — |
| Mary Bridge Children's Hospital | $789 – $994 | $488 | $1,221 |
| MultiCare Auburn Medical Center | $891 | $488 | $1,221 |
| MultiCare Covington Medical Center | $891 | $488 | $1,221 |
| MultiCare Good Samaritan Hospital | $891 | $488 | $1,221 |
| MultiCare Valley Hospital | $455 – $881 | $490 | $1,224 |
| Overlake Hospital Medical Center & Clinics | $32.22 – $34.29 | $303 | $605 |
| PeaceHealth Southwest Medical Cente | — | $186 | $285 |
| PeaceHealth St John Medical Center | — | $186 | $285 |
| PeaceHealth St Joseph Medical Center | — | $186 | $285 |
| PeaceHealth United General Medical Center | — | $186 | $285 |
| Providence Centralia Hospital | $61.14 – $77.44 | $179 | $344 |
| Providence St Peter Hospital | — | $179 | $344 |
| Skagit Valley Hospital | $55.29 – $364 | $307 | $383 |
| St Anthony Hospital | $246 – $257 | $104 | $342 |
| St Clare Hospital | $246 – $257 | $98.63 | $342 |
| St Elizabeth Hospital | $114 – $308 | $121 | $342 |
| St Francis Community Hospital | $246 – $257 | $107 | $342 |
| St Joseph Medical Center | $246 – $257 | $113 | $342 |
| St Michael Medical Center | $219 – $308 | $151 | $342 |
| Tacoma General Allenmore Hospital | $891 | $488 | $1,221 |
| Virginia Mason Medical Center | $191 – $255 | $163 | $319 |
| Yakima Valley Memorial | $406 – $705 | $332 | $829 |
Medicare (traditional) reference
CMS publishes no national amount for this code.