HCPCS A9589

Instillation, hexaminolevulinate hydrochloride, 100 mg

Current code19 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 A9589 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,569 – $5,0495 plans$2,767$6,916
Island HospitalAnacortes$1,4252 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,549 – $5,2393 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2,246 – $2,6022 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,8712 plans$2,121$5,303
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,8712 plans$2,121$5,303
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,564 – $2,7303 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,369 – $2,5492 plans$3,162$4,517
Providence Centralia HospitalCentraliaFile dated 2026-04-01$4,136 – $8,8423 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1,369 – $2,5492 plans$3,162$4,517
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,369 – $2,5492 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$8,2941 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,5491 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,369 – $2,5492 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,369 – $2,5492 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,369 – $2,5492 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,369 – $2,5492 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,8712 plans$2,121$5,303
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,1711 plan——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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

CMS publishes no national amount for this code.