Code: A9507

Description:
Description: Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI
INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI
IN-111 CAPRO PENDETIDE
In111 capromab
Related codes:
Code: A9500
TC99M SESTAMIBI DX DOSE
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: 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 A9507 $53 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A9507 $53 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A9507 $1,679 [source] 4 years ago
Alta Bates Summit Medical Center - Alta Bates Campus 2450 Ashby Ave, Berkeley A9507 $1,679 [source] 4 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley A9507 $1,820 [source] 4 years ago
Novato Community Hospital 180 Rowland Way, Novato A9507 $1,830 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9507 $1,847 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9507 $1,847 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A9507 $2,192 [source] 4 years ago
Sutter Tracy Community Hospital 1420 N Tracy Blvd, Tracy A9507 $2,320 [source] 4 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis A9507 $2,354 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9507 $2,436 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo A9507 $2,545 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco A9507 $2,734 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco A9507 $2,734 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco A9507 $2,734 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame A9507 $2,791 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9507 $10,093 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9507 $10,093 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9507 $10,093 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9507 $10,093 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9507 $10,093 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9507 $10,093 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9507 $10,093 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9507 $10,093 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9507 $10,093 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9507 $10,093 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9507 $10,093 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9507 $10,093 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9507 $10,093 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9507 $10,093 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9507 $10,093 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9507 $10,093 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9507 $10,093 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9507 $10,093 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9507 $10,093 [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.