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
Florida
Hospital Address Code Price Last Updated
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach A4641 $1 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson A4641 $28 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg A4641 $135 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami A4641 $240 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares A4641 $354 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland A4641 $368 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce A4641 $386 [source] 4 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford A4641 $401 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville A4641 $403 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale A4641 $409 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola A4641 $422 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee A4641 $467 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City A4641 $509 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center A4641 $638 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota A4641 $1,005 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon A4641 $1,087 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood A4641 $1,113 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte A4641 $1,745 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami A4641 $2,029 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth A4641 $2,086 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa A4641 $2,591 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg A4641 $3,046 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale A4641 $3,684 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala A4641 $4,333 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee A4641 $4,446 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills A4641 $5,653 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills A4641 $5,653 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville A4641 $10,772 [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.