Code: A9539

Description:
Description: Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
RP DTPA
HC RP DTPA
TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI
T99 PENTETATE
PENTETATE
RX DX 99MTC DTPA per Dose
Tc99m Pentetate<25mci
Related codes:
Code: A9530
I131 SOD IOD SOL TX MCI
Code: A9531
I131 SODIUM IOD DX UCI
Code: A9532
Description: Iodine i-125 serum albumin, diagnostic, per 5 microcuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9533
SPL RADOPHRM DX IMAG AGT I-131 TOSITUMOMAB-MCI
Code: A9534
SPL RADOPHRM TX IMAG AGT I-131 TOSITUMOMAB-MCI
Code: A9535
INJECTION METHYLENE BLUE 1 ML
Code: A9536
TC99M DEPREOTID DX 35MCI
Code: A9537
TC99M MEBROFEN DX 15MCI
Code: A9538
TC99M PYROPHOS DX 25MCI
California
Hospital Address Code Price Last Updated
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A9539 $52 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar A9539 $53 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A9539 $53 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9539 $136 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9539 $136 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9539 $136 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9539 $136 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9539 $136 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9539 $136 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9539 $136 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9539 $136 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9539 $136 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9539 $136 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9539 $136 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9539 $136 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9539 $136 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9539 $136 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa A9539 $152 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco A9539 $161 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco A9539 $161 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco A9539 $161 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9539 $163 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9539 $163 [source] 4 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis A9539 $163 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9539 $163 [source] 4 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn A9539 $163 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A9539 $169 [source] 4 years ago
Alta Bates Summit Medical Center - Alta Bates Campus 2450 Ashby Ave, Berkeley A9539 $169 [source] 4 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley A9539 $184 [source] 4 years ago
Sutter Amador Hospital 200 Mission Blvd,, Jackson A9539 $196 [source] 4 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto A9539 $198 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo A9539 $198 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale A9539 $199 [source] 4 years ago
Sutter Tracy Community Hospital 1420 N Tracy Blvd, Tracy A9539 $205 [source] 4 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch A9539 $208 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame A9539 $208 [source] 4 years ago
Sutter Lakeside Hospital 5176 Hill Rd E, Lakeport A9539 $231 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9539 $246 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9539 $246 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9539 $246 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9539 $246 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9539 $246 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9539 $246 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9539 $246 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9539 $246 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9539 $246 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9539 $246 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9539 $246 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9539 $246 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9539 $246 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9539 $246 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9539 $246 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9539 $246 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9539 $246 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9539 $246 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9539 $246 [source] 4 years ago
Sutter Coast Hospital 800 E Washington Blvd, Crescent City A9539 $259 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills A9539 $291 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks A9539 $521 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside A9539 $838 [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.