HCPCS A9570

Indium in-111 labeled autologous white blood cells, diagnostic, per study dose

Current code38 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 A9570 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$10,708 – $11,3772 plans$5,354$13,385
Deaconess Medical CenterSpokaneFile dated 2026-08-27$8,191 – $8,4212 plans$4,614$11,536
EvergreenHealth Medical CenterKirkland$2,192 – $12,60811 plans$5,481$6,851
Highline Medical CenterBurienFile dated 2026-02-28$523 – $1,0944 plans$371$1,215
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$8,754 – $10,7086 plans$5,354$13,385
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$7,828 – $9,7713 plans$5,307 – $5,354$13,268 – $13,385
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$7,897 – $9,7713 plans$5,354$13,385
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7,828 – $9,7713 plans$5,307 – $5,354$13,268 – $13,385
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$8,3062 plans$4,614$11,536
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$4,457$8,914
St Anthony HospitalGig HarborFile dated 2026-02-28$875 – $9112 plans$370$1,215
St Clare HospitalLakewoodFile dated 2026-02-28$875 – $9112 plans$350$1,215
St Elizabeth HospitalEnumclawFile dated 2026-02-28$437 – $1,0948 plans$429$1,215
St Francis Community HospitalFederal WayFile dated 2026-02-28$875 – $9112 plans$381$1,215
St Joseph Medical CenterTacomaFile dated 2026-02-28$875 – $9112 plans$402$1,215
St Michael Medical CenterSilverdaleFile dated 2026-02-28$766 – $1,09410 plans$536$1,215
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$7,828 – $9,7713 plans$5,307 – $5,354$13,268 – $13,385

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$1,103 (APC 0777)
Surgery center payment (national)
$1,103