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 | $8.03 – $18.13 | $4.40 | $11.00 |
| Deaconess Medical Center | $4.09 – $44.60 | $4.40 | $11.00 |
| Harborview Medical Center | $16.00 – $21.72 | — | — |
| Mary Bridge Children's Hospital | $7.10 – $78.65 | $4.40 | $11.00 |
| MultiCare Auburn Medical Center | $8.03 – $46.30 | $4.40 | $11.00 |
| MultiCare Covington Medical Center | $8.03 – $46.30 | $4.40 | $11.00 |
| MultiCare Good Samaritan Hospital | $8.03 – $46.30 | $4.40 | $11.00 |
| MultiCare Valley Hospital | $4.09 – $44.50 | $4.40 | $11.00 |
| Tacoma General Allenmore Hospital | $8.03 – $46.30 | $4.40 | $11.00 |
| University of Washington Medical Ctr | $16.00 – $31.36 | — | — |
| Wellfound Behavioral Health Hospital | $25.24 | — | — |
| Yakima Valley Memorial | $5.39 – $27.80 | $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)