Code: A9510

Description:
Description: Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI
HC RP HEPATOLITE
TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI
TC99M DISOFENIN PER VIAL
TC99M DISOFENIN PER BIAL
RX DX 99MTC Disofenin per Dose
Related codes:
Code: A9512
TC99M PERTECHNETA DX MCI
Code: A9513
LU177 DOTATATE TX 200MCI
Code: A9515
Description: Choline c-11, diagnostic, per study dose up to 20 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9516
I123 SOD DX 100-999 UCI
Code: A9517
I131 SOD IOD CAP TX MCI
Code: A9518
I-131 SODIUM IODIDE SOLUTION
Code: A9519
TECHNETIUMTC-99MMACROAG ALBU
California
Hospital Address Code Price Last Updated
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar A9510 $53 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A9510 $53 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa A9510 $134 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9510 $156 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9510 $156 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9510 $156 [source] 4 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn A9510 $156 [source] 4 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto A9510 $190 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9510 $196 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9510 $196 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9510 $196 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9510 $196 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9510 $196 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9510 $196 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9510 $196 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9510 $196 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9510 $196 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9510 $196 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9510 $196 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9510 $196 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9510 $196 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9510 $196 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9510 $196 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9510 $196 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9510 $196 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9510 $196 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9510 $196 [source] 4 years ago
Sutter Tracy Community Hospital 1420 N Tracy Blvd, Tracy A9510 $196 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A9510 $198 [source] 4 years ago
Alta Bates Summit Medical Center - Alta Bates Campus 2450 Ashby Ave, Berkeley A9510 $198 [source] 4 years ago
Sutter Coast Hospital 800 E Washington Blvd, Crescent City A9510 $203 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale A9510 $212 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo A9510 $215 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame A9510 $236 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona A9510 $247 [source] 4 years ago
Memorial Hospital Los Banos 520 W I St, Los Banos A9510 $278 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9510 $359 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9510 $359 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9510 $359 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9510 $359 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9510 $359 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9510 $359 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9510 $359 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9510 $359 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9510 $359 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9510 $359 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9510 $359 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9510 $359 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9510 $359 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9510 $359 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A9510 $489 [source] 4 years ago
Sierra Vista Regional Medical Center 1010 Murray Ave., San Luis Obispo A9510 $860 [source] 4 years ago
Lakewood Regional Medical Center 3700 East South St., Lakewood A9510 $1,007 [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.