HCPCS C9150
Xenon xe-129 hyperpolarized gas, diagnostic, per study dose
Retired code7 hospitals with prices
This code is retired. Some hospitals still list it. CMS replaced it with HCPCS A9610.
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) |
|---|---|---|---|
| Prov Sacred HRT Med Ctr & Childs Hosp. | $572 | — | — |
| Providence Holy Family Hospital | $572 | — | — |
| Providence Regional Medical Center Everett | $572 | — | — |
| Swedish Edmonds Hospital | $572 | — | — |
| Swedish Issaquah | $572 | — | — |
| Swedish Medical Center | $572 | — | — |
| Swedish Medical Center / Cherry Hill | $572 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.