Code: A9501

Description:
Description: Technetium tc-99m teboroxime, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
Related codes:
Code: A9500
TC99M SESTAMIBI DX DOSE
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
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9501 $27 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9501 $27 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9501 $27 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9501 $27 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9501 $27 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9501 $27 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9501 $27 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9501 $27 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9501 $27 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9501 $27 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9501 $27 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9501 $27 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9501 $27 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9501 $27 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9501 $27 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9501 $27 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9501 $27 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9501 $27 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9501 $27 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9501 $39 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9501 $39 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9501 $39 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9501 $39 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9501 $39 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9501 $39 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9501 $39 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9501 $39 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9501 $39 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9501 $39 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9501 $39 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9501 $39 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9501 $39 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9501 $39 [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.