HCPCS C9176
Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, 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) |
|---|---|---|---|
| Capital Medical Center | $8.80 – $9.35 | $4.40 | $11.00 |
| Deaconess Medical Center | $7.81 – $8.03 | $4.40 | $11.00 |
| Mary Bridge Children's Hospital | $7.19 – $8.80 | $4.40 | $11.00 |
| MultiCare Auburn Medical Center | $6.49 – $8.03 | $4.40 | $11.00 |
| MultiCare Covington Medical Center | $6.49 – $8.03 | $4.40 | $11.00 |
| MultiCare Good Samaritan Hospital | $6.49 – $8.03 | $4.40 | $11.00 |
| MultiCare Valley Hospital | $7.92 | $4.40 | $11.00 |
| Tacoma General Allenmore Hospital | $6.49 – $8.03 | $4.40 | $11.00 |
| Yakima Valley Memorial | $6.16 | $4.40 | $11.00 |
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)
- $10.00 (APC 1441)