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
Florida
Hospital Address Code Price Last Updated
Adventhealth Wauchula 735 S 5Th Ave, Wauchula A9521 $292 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring A9521 $292 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton A9521 $1,534 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton A9521 $1,534 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach A9521 $1,758 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City A9521 $2,237 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland A9521 $2,551 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills A9521 $2,872 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa A9521 $2,872 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa A9521 $2,872 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa A9521 $2,872 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee A9521 $3,123 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola A9521 $3,259 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee A9521 $3,504 [source] 4 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee A9521 $3,563 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando A9521 $4,386 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville A9521 $4,705 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs A9521 $4,823 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills A9521 $4,823 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando A9521 $4,823 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales A9521 $4,823 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares A9521 $4,823 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson A9521 $5,146 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale A9521 $5,188 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach A9521 $5,196 [source] 4 years ago
Twin Cities Hospital 2190 Hwy 85 N, Niceville A9521 $5,521 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring A9521 $5,973 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton A9521 $6,125 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte A9521 $6,251 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg A9521 $6,296 [source] 4 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford A9521 $6,843 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach A9521 $7,131 [source] 4 years ago
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach A9521 $7,766 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa A9521 $7,975 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando A9521 $7,975 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park A9521 $7,975 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee A9521 $7,975 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka A9521 $7,975 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City A9521 $8,332 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee A9521 $8,517 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala A9521 $8,932 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa A9521 $9,409 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood A9521 $9,773 [source] 4 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach A9521 $10,077 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth A9521 $10,077 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City A9521 $10,192 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota A9521 $10,911 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville A9521 $11,066 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce A9521 $11,689 [source] 4 years ago
Lake City Medical Center 340 Nw Commerce Dr, Lake City A9521 $11,996 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo A9521 $12,382 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg A9521 $12,509 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg A9521 $12,587 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale A9521 $13,334 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala A9521 $13,927 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey A9521 $14,525 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie A9521 $14,620 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami A9521 $14,640 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach A9521 $14,835 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee A9521 $14,871 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale A9521 $15,152 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami A9521 $15,154 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center A9521 $16,237 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami A9521 $16,636 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale A9521 $16,656 [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.