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 | $1,081 – $1,189 | $5,354 | $13,385 |
| Deaconess Medical Center | $1,081 – $1,189 | $4,614 | $11,536 |
| EvergreenHealth Medical Center | — | $5,481 | $6,851 |
| Harborview Medical Center | $1,103 – $1,214 | — | — |
| Highline Medical Center | $1,148 – $1,320 | $371 | $1,215 |
| Island Hospital | $1,289 – $1,366 | — | — |
| Kadlec Regional Medical Center | $1,103 – $1,324 | — | — |
| Mary Bridge Children's Hospital | $1,081 – $1,189 | $5,354 | $13,385 |
| MultiCare Auburn Medical Center | $1,081 – $1,189 | $5,307 – $5,354 | $13,268 – $13,385 |
| MultiCare Covington Medical Center | $1,081 – $1,189 | $5,354 | $13,385 |
| MultiCare Good Samaritan Hospital | $1,081 – $1,189 | $5,307 – $5,354 | $13,268 – $13,385 |
| MultiCare Valley Hospital | $1,114 – $1,189 | $4,614 | $11,536 |
| Olympic Medical Center | $1,353 – $1,740 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,103 – $1,147 | $4,457 | $8,914 |
| PeaceHealth Peace Island Medical Center | — | $3,801 | $5,848 |
| PeaceHealth Southwest Medical Cente | $1,103 – $1,269 | $3,801 | $5,848 |
| PeaceHealth St John Medical Center | $860 – $1,214 | $3,801 | $5,848 |
| PeaceHealth St Joseph Medical Center | $1,103 – $1,214 | $3,801 – $3,801 | $5,848 – $5,848 |
| PeaceHealth United General Medical Center | — | $3,801 | $5,848 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,103 – $1,324 | — | — |
| Providence Centralia Hospital | $1,103 – $1,765 | — | — |
| Providence Holy Family Hospital | $1,103 – $1,214 | — | — |
| Providence Regional Medical Center Everett | $1,103 – $1,214 | — | — |
| St Anthony Hospital | $1,169 – $1,344 | $370 | $1,215 |
| St Clare Hospital | $1,169 – $1,344 | $350 | $1,215 |
| St Elizabeth Hospital | $219 – $267 | $429 | $1,215 |
| St Francis Community Hospital | $1,148 – $1,320 | $381 | $1,215 |
| St Joseph Medical Center | $1,169 – $1,344 | $402 | $1,215 |
| St Michael Medical Center | $1,202 – $1,298 | $536 | $1,215 |
| Swedish Edmonds Hospital | $1,103 – $1,324 | — | — |
| Swedish Issaquah | $1,103 – $1,324 | — | — |
| Swedish Medical Center | $1,103 – $1,324 | — | — |
| Swedish Medical Center / Cherry Hill | $1,103 – $1,324 | — | — |
| Tacoma General Allenmore Hospital | $1,081 – $1,189 | $5,307 – $5,354 | $13,268 – $13,385 |
| University of Washington Medical Ctr | $1,103 – $1,214 | — | — |
| Virginia Mason Medical Center | $722 – $1,083 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,081 – $1,211 | — | — |
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