HCPCS A9570
Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
Current code38 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $5,354 | $13,385 |
| Deaconess Medical Center | — | $4,614 | $11,536 |
| EvergreenHealth Medical Center | — | $5,481 | $6,851 |
| Highline Medical Center | — | $371 | $1,215 |
| Mary Bridge Children's Hospital | — | $5,354 | $13,385 |
| MultiCare Auburn Medical Center | — | $5,307 – $5,354 | $13,268 – $13,385 |
| MultiCare Covington Medical Center | — | $5,354 | $13,385 |
| MultiCare Good Samaritan Hospital | — | $5,307 – $5,354 | $13,268 – $13,385 |
| MultiCare Valley Hospital | — | $4,614 | $11,536 |
| Overlake Hospital Medical Center & Clinics | — | $4,457 | $8,914 |
| St Anthony Hospital | — | $370 | $1,215 |
| St Clare Hospital | — | $350 | $1,215 |
| St Elizabeth Hospital | — | $429 | $1,215 |
| St Francis Community Hospital | — | $381 | $1,215 |
| St Joseph Medical Center | — | $402 | $1,215 |
| St Michael Medical Center | — | $536 | $1,215 |
| Tacoma General Allenmore Hospital | — | $5,307 – $5,354 | $13,268 – $13,385 |
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