HCPCS A9571
Indium in-111 labeled autologous platelets, diagnostic, per study dose
Current code12 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) |
|---|---|---|---|
| Deaconess Medical Center | $5,778 – $11,354 | $6,221 | $15,553 |
| Kadlec Regional Medical Center | $5,960 – $16,236 | — | — |
| MultiCare Valley Hospital | $5,778 – $11,198 | $6,221 | $15,553 |
| Overlake Hospital Medical Center & Clinics | $7,987 – $8,502 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,888 | — | — |
| Providence Centralia Hospital | $12,818 – $16,236 | — | — |
| Providence Holy Family Hospital | $4,888 | — | — |
| Providence Regional Medical Center Everett | $4,888 | — | — |
| Swedish Edmonds Hospital | $4,888 | — | — |
| Swedish Issaquah | $4,888 | — | — |
| Swedish Medical Center | $4,888 | — | — |
| Swedish Medical Center / Cherry Hill | $4,888 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.