Code: A9521

Description:
Description: Technetium tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI
HC RP CERETEC UP TO 25MCI
TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI
TECHNETIUM TC99 M EXAMETA
CERETEC HMPAO-PER DOSE
TC99M EXAMETAZINE DOSE
TC99M CERETEC UP TO 24 MCI
RX DX 99MTC Ceretec per Dose
Tc99m Exametazime<25mci
Related codes:
Code: A9520
TC99M TILMANOC DX 0.5MCI
Code: A9522
INDIUM111IBRITUMOMABTIUXETAN
Code: A9523
YTTRIUM90IBRITUMOMABTIUXETAN
Code: A9524
I131 SERUM ALBUM DX 5UCI
Code: A9526
AMMONIA N13 DX 40 MCI
Code: A9527
I-125 SOD IOD SOL TH MCI
Code: A9528
I131 SOD IOD CAP DX MCI
Code: A9529
I131 SOD IOD SOL DX MCI
California
Hospital Address Code Price Last Updated
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar A9521 $53 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A9521 $53 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9521 $607 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9521 $607 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale A9521 $622 [source] 4 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn A9521 $667 [source] 4 years ago
Sutter Amador Hospital 200 Mission Blvd,, Jackson A9521 $733 [source] 4 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis A9521 $735 [source] 4 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto A9521 $736 [source] 4 years ago
Alta Bates Summit Medical Center - Alta Bates Campus 2450 Ashby Ave, Berkeley A9521 $768 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A9521 $768 [source] 4 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch A9521 $782 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9521 $799 [source] 4 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley A9521 $809 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo A9521 $836 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco A9521 $903 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco A9521 $903 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco A9521 $903 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame A9521 $917 [source] 4 years ago
Sutter Lakeside Hospital 5176 Hill Rd E, Lakeport A9521 $966 [source] 4 years ago
Sutter Tracy Community Hospital 1420 N Tracy Blvd, Tracy A9521 $1,074 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona A9521 $1,655 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9521 $1,767 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9521 $1,767 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9521 $1,767 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9521 $1,767 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9521 $1,767 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9521 $1,767 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9521 $1,767 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9521 $1,767 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9521 $1,767 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9521 $1,767 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9521 $1,767 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9521 $1,767 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9521 $1,767 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9521 $1,767 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9521 $1,767 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9521 $1,767 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9521 $1,767 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9521 $1,767 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9521 $1,767 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A9521 $2,173 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks A9521 $5,099 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9521 $5,243 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9521 $5,243 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9521 $5,243 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9521 $5,243 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9521 $5,243 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9521 $5,243 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9521 $5,243 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9521 $5,243 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9521 $5,243 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9521 $5,243 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9521 $5,243 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9521 $5,243 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9521 $5,243 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9521 $5,243 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside A9521 $5,960 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose A9521 $6,415 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills A9521 $6,685 [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.