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
Texas
Hospital Address Code Price Last Updated
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor A9500 $107 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham A9500 $107 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls A9500 $107 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station A9500 $107 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville A9500 $129 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda A9500 $129 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy A9500 $129 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin A9500 $129 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston A9500 $151 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton A9500 $161 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving A9500 $161 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett A9500 $161 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie A9500 $161 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano A9500 $161 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas A9500 $161 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey A9500 $161 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple A9500 $161 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth A9500 $161 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano A9500 $161 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine A9500 $161 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco A9500 $161 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney A9500 $161 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano A9500 $161 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9500 $290 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9500 $354 [source] 4 years ago
St. David's Healthcare , Round Rock A9500 $391 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass A9500 $408 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9500 $482 [source] 4 years ago
Mission Trail Baptist Hospital 3333 Research Plaza, San Antonio A9500 $591 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo A9500 $630 [source] 4 years ago
St. Luke's Baptist Hospital 7930 Floyd Curl Dr., San Antonio A9500 $734 [source] 4 years ago
Baptist Medical Center 111 Dallas St., San Antonio A9500 $734 [source] 4 years ago
Northeast Baptist Hospital 8811 Village Dr., San Antonio A9500 $734 [source] 4 years ago
North Central Baptist Hospital 520 Madison Oak Dr., San Antonio A9500 $734 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9500 $734 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9500 $760 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford A9500 $942 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9500 $984 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9500 $984 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9500 $984 [source] 4 years ago
The Hospitals Of Providence Transmountain Campus 2000 Transmountain Road, El Paso A9500 $1,045 [source] 4 years ago
Valley Baptist Medical Center 2101 Pease Street, Harlingen A9500 $1,071 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen A9500 $1,079 [source] 4 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso A9500 $1,125 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison A9500 $1,129 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston A9500 $1,241 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9500 $1,285 [source] 4 years ago
Parkview Regional Hospital 600 South Bonham Street, Mexia A9500 $1,314 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9500 $1,511 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth A9500 $1,590 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth A9500 $1,595 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9500 $1,655 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9500 $1,672 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9500 $1,792 [source] 4 years ago
Valley Regional Medical Center 100-A Alton Gloor Blvd, Brownsville A9500 $1,801 [source] 4 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie A9500 $1,940 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi A9500 $2,234 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth A9500 $2,316 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington A9500 $3,120 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine A9500 $3,469 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9500 $5,615 [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 §180.