Code: A9500

Description:
Description: Technetium tc-99m sestamibi, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC TECHNETIUM TC-99M SESTAMIBI DX UP TO 40 MCI
RP SESTAMIBI DOSE UP TO 40MCI
TECHNETIUM TC 99M SESTAMIBI - CARDIOLITE
TC99M SESTABIBI UP TO 40MCI
TC99M SESTAMBI
HCHG CVMC TC99M TETROFOSMIN
RX DX Cardiolite per Dose
Tc99m Sestamibi Per Dose
Related codes:
Code: A9501
Description: Technetium tc-99m teboroxime, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9502
TC99M TETROFOSMIN DXDOSE
Code: A9503
TC99M MEDRONATE DX 30MCI
Code: A9504
TC99M APCITIDE DX 20MCI
Code: A9505
TL201 THALLOUS CL DX MCI
Code: A9507
IN111 CAPRO PEN DX 10MCI
Code: A9508
I131 IOBENGUAN DX 0.5MCI
Code: A9509
I123 SODIUM IOD DX 1 MCI
California
Hospital Address Code Price Last Updated
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar A9500 $53 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A9500 $53 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A9500 $79 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9500 $202 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9500 $202 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9500 $202 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9500 $202 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9500 $202 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9500 $202 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9500 $202 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9500 $202 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9500 $202 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9500 $202 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9500 $202 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9500 $202 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9500 $202 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9500 $202 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9500 $202 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9500 $202 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9500 $202 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9500 $202 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9500 $202 [source] 4 years ago
El Camino Hospital 2500 Grant Rd, Mountain View A9500 $249 [source] 4 years ago
Twin Cities Community Hospital 1100 Las Tablas Rd., Templeton A9500 $313 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa A9500 $316 [source] 4 years ago
Jfk Memorial Hospital 47-111 Monroe St., Indio A9500 $341 [source] 4 years ago
Alta Bates Summit Medical Center - Alta Bates Campus 2450 Ashby Ave, Berkeley A9500 $343 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A9500 $343 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco A9500 $365 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco A9500 $365 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco A9500 $365 [source] 4 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch A9500 $367 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9500 $368 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9500 $368 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9500 $368 [source] 4 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn A9500 $368 [source] 4 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley A9500 $372 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo A9500 $391 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale A9500 $420 [source] 4 years ago
Sutter Amador Hospital 200 Mission Blvd,, Jackson A9500 $445 [source] 4 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto A9500 $447 [source] 4 years ago
Sutter Lakeside Hospital 5176 Hill Rd E, Lakeport A9500 $447 [source] 4 years ago
Sutter Tracy Community Hospital 1420 N Tracy Blvd, Tracy A9500 $462 [source] 4 years ago
Novato Community Hospital 180 Rowland Way, Novato A9500 $483 [source] 4 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis A9500 $485 [source] 4 years ago
Sutter Coast Hospital 800 E Washington Blvd, Crescent City A9500 $489 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame A9500 $499 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona A9500 $501 [source] 4 years ago
Placentia - Linda Hospital 1301 N. Rose Dr., Placentia A9500 $707 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9500 $736 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9500 $736 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9500 $736 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9500 $736 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9500 $736 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9500 $736 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9500 $736 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9500 $736 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9500 $736 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9500 $736 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9500 $736 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9500 $736 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9500 $736 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9500 $736 [source] 4 years ago
Fountain Valley Regional Hospital 17100 Euclid At Warner, Fountain Valley A9500 $945 [source] 4 years ago
Lakewood Regional Medical Center 3700 East South St., Lakewood A9500 $1,359 [source] 4 years ago
Doctors Hospital Of Manteca 1205 East North St., Manteca A9500 $1,420 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks A9500 $1,542 [source] 4 years ago
Sierra Vista Regional Medical Center 1010 Murray Ave., San Luis Obispo A9500 $1,692 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills A9500 $1,980 [source] 4 years ago
Los Alamitos Medical Center 3751 Katella Ave., Los Alamitos A9500 $2,618 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside A9500 $4,407 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose A9500 $4,608 [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.