πŸ“‹ Medical Procedure Code

A4641

Radiopharmaceutical, diagnostic, not otherwise classified
Other Descriptions:
DX RADIOPHARMACEUTICAL, NW 1
SUPPLY, RADIOPHARMACEUTICAL DIAGNOSTIC IMAGING AGENT
ULTRATAG RBC KIT
CARBON 14 UREA, 0.001MCI PER 1 MICROCURIE
DX RADIOPHARMACEUTICAL, NW 3
RADIOPHARMACEUTICAL DIAGNOSTIC NOC
TC99M HEAT DAMAGED RBCS PER DOSE 5MCI
TC99M PLATELETS PER DOSE 20MCI
I-123 MIBG PER MCI
Related codes:
Code: A4640
Description: Replacement pad for use with medically necessary alternating pressure pad owned by patient
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A4642
Description: Indium in-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A4644
OBSOLETE OMNIPAQUE,NON-IONIC 140MG/50ML SDV.
Code: A4645
OBSOLETE OMNIPAQUE,NON-IONIC 240MG/10ML SDV.
Code: A4646
MARKER DIAG 12CM XSHAPE
Code: A4647
OBSOLETE MAGNEVIST (FOR MRI) 10ML/VIAL.
Code: A4648
Description: Tissue marker, implantable, any type, each
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A4649
Description: Surgical supply
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental

Hospital Prices in Wisconsin

Detailed hospital-level pricing for procedure code A4649 across Wisconsin. Compare prices from different hospitals to understand cost variations in your area.

πŸ—ΊοΈ Hospital Locations Map

πŸ’‘ Tip: Click on any marker to see hospital details. Colors indicate relative pricing - red shows higher prices, green shows lower prices.

πŸ“Š Hospital Prices in Wisconsin

State Average: $1,353

Hospital Address Code Price Last Updated
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy A4641 $80 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh A4641 $80 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee A4641 $80 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette A4641 $80 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc A4641 $80 [source] 4 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay A4641 $80 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee A4641 $80 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington A4641 $80 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn A4641 $80 [source] 4 years ago
Prairie Ridge Health 1515 Park Ave, Columbus A4641 $588 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton A4641 $3,650 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford A4641 $3,650 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee A4641 $3,650 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers A4641 $3,650 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown A4641 $4,394 [source] 4 years ago

ℹ️ About This Data

The prices shown are from hospital chargemaster files, which represent the list prices hospitals charge before insurance negotiations or discounts. Your actual cost may be different depending on your insurance coverage, deductibles, and negotiated rates. Always check with your insurance provider and hospital for accurate cost estimates.


ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR Β§180.