Code: A4641

Description:
Description: Radiopharmaceutical, diagnostic, not otherwise classified
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC RADIOPHARMACEUTICAL DIAGNOSTIC NOC
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
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
SATUMOMAB PENDETIDE 6MCI
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
MARKER BIOZRB TISS 3X3CM
Code: A4649
Description: Surgical supply
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
California
Hospital Address Code Price Last Updated
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar A4641 $53 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A4641 $53 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A4641 $118 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A4641 $255 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame A4641 $257 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A4641 $323 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa A4641 $329 [source] 4 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley A4641 $340 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco A4641 $380 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A4641 $620 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A4641 $620 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A4641 $620 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A4641 $620 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A4641 $620 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A4641 $620 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A4641 $620 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A4641 $620 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A4641 $620 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A4641 $620 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A4641 $620 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A4641 $620 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A4641 $620 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A4641 $620 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A4641 $620 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A4641 $620 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A4641 $620 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A4641 $620 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A4641 $620 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco A4641 $809 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco A4641 $809 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale A4641 $1,087 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona A4641 $1,501 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo A4641 $1,580 [source] 4 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn A4641 $1,606 [source] 4 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis A4641 $1,606 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A4641 $1,606 [source] 4 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto A4641 $2,875 [source] 4 years ago
Sutter Tracy Community Hospital 1420 N Tracy Blvd, Tracy A4641 $2,888 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills A4641 $2,924 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose A4641 $8,062 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside A4641 $11,671 [source] 4 years ago

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 ยง180.