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
North Carolina
Hospital Address Code Price Last Updated
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro A9500 $60 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte A9500 $61 [source] 4 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton A9500 $62 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte A9500 $62 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte A9500 $64 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte A9500 $67 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord A9500 $67 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe A9500 $76 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby A9500 $88 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle A9500 $94 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro A9500 $100 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington A9500 $172 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro A9500 $172 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville A9500 $172 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro A9500 $172 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro A9500 $172 [source] 4 years ago
Frye Regional Medical Center 420 N. Center Street, Hickory A9500 $304 [source] 4 years ago
Central Carolina Hospital 1135 Carthage Street, Sanford A9500 $429 [source] 4 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton A9500 $566 [source] 4 years ago
Harris Regional Hospital 68 Hospital Road, Sylva A9500 $598 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville A9500 $642 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine A9500 $662 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin A9500 $662 [source] 4 years ago
Mcdowell Hospital , Marion A9500 $662 [source] 4 years ago
Person Memorial Hospital 615 Ridge Road, Roxboro A9500 $2,221 [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.