HCPCS A9697
Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose
Current code30 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 | $1,229 – $1,352 | — | — |
| Deaconess Medical Center | $1,229 – $1,352 | — | — |
| Harborview Medical Center | $1,254 – $1,379 | — | — |
| Island Hospital | $1,465 – $1,553 | — | — |
| Kadlec Regional Medical Center | $1,254 – $1,505 | $2,130 | $3,044 |
| Mary Bridge Children's Hospital | $1,229 – $1,352 | — | — |
| MultiCare Auburn Medical Center | $1,229 – $1,352 | — | — |
| MultiCare Covington Medical Center | $1,229 – $1,352 | — | — |
| MultiCare Good Samaritan Hospital | $1,229 – $1,352 | — | — |
| MultiCare Valley Hospital | $1,266 – $1,352 | — | — |
| Olympic Medical Center | $1,538 – $1,978 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,254 – $1,304 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $2,172 | $3,102 |
| Providence Centralia Hospital | $1,254 – $2,006 | $3,546 | $6,820 |
| Providence Holy Family Hospital | — | $2,172 | $3,102 |
| Providence Mount Carmel Hospital | — | $2,072 | $2,960 |
| Providence Regional Medical Center Everett | — | $3,706 | $7,126 |
| Providence St Joseph Hospital | — | $2,072 | $2,960 |
| Providence St Mary Medical Center | — | $2,137 | $3,053 |
| Providence St Peter Hospital | — | $3,546 | $6,820 |
| Swedish Edmonds Hospital | — | $1,515 – $2,249 | $3,156 – $4,686 |
| Swedish Issaquah | — | $1,515 – $2,249 | $3,156 – $4,686 |
| Swedish Medical Center | — | $1,515 – $2,249 | $3,156 – $4,686 |
| Swedish Medical Center / Cherry Hill | — | $1,515 – $2,249 | $3,156 – $4,686 |
| Tacoma General Allenmore Hospital | $1,229 – $1,352 | — | — |
| University of Washington Medical Ctr | $1,254 – $1,379 | — | — |
| Virginia Mason Medical Center | $878 – $1,317 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $1,623 – $1,624 | $1,623 – $1,624 |
| Yakima Valley Memorial | $1,229 – $1,376 | — | — |
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)
- $1,254 (APC 0814)
- Surgery center payment (national)
- $1,254