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
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage A9500 $18 [source] 4 years ago
St. Jude Children's Research Hospital , Memphis A9500 $72 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville A9500 $97 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin A9500 $100 [source] 4 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville A9500 $251 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9500 $251 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9500 $251 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9500 $251 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9500 $251 [source] 4 years ago
Saint Francis Hospital - Memphis 5959 Park Ave., Memphis A9500 $642 [source] 4 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski A9500 $855 [source] 4 years ago
Southern Tennessee Regional Health System - Lawrenceburg 1607 South Locust Avenue, Lawrenceburg A9500 $1,038 [source] 4 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens A9500 $1,417 [source] 4 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah A9500 $1,417 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester A9500 $1,548 [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.