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
Florida
Hospital Address Code Price Last Updated
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach A9539 $77 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares A9539 $103 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg A9539 $114 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach A9539 $118 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs A9539 $126 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville A9539 $134 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg A9539 $150 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale A9539 $156 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton A9539 $168 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton A9539 $168 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala A9539 $197 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills A9539 $207 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills A9539 $207 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa A9539 $207 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa A9539 $207 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa A9539 $207 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring A9539 $217 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach A9539 $228 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami A9539 $233 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City A9539 $237 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland A9539 $253 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee A9539 $391 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness A9539 $395 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo A9539 $407 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami A9539 $428 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula A9539 $438 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring A9539 $438 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee A9539 $467 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola A9539 $498 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City A9539 $509 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota A9539 $523 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach A9539 $526 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala A9539 $548 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee A9539 $556 [source] 4 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale A9539 $576 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson A9539 $611 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton A9539 $671 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando A9539 $672 [source] 4 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford A9539 $695 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City A9539 $732 [source] 4 years ago
Putnam Community Medical Center 611 Zeagler Dr, Palatka A9539 $734 [source] 4 years ago
Lake City Medical Center 340 Nw Commerce Dr, Lake City A9539 $743 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa A9539 $789 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park A9539 $799 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte A9539 $830 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon A9539 $844 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie A9539 $874 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee A9539 $881 [source] 4 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee A9539 $896 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood A9539 $1,113 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce A9539 $1,123 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka A9539 $1,221 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando A9539 $1,221 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa A9539 $1,221 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando A9539 $1,221 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee A9539 $1,221 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park A9539 $1,221 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth A9539 $1,264 [source] 4 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach A9539 $1,264 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg A9539 $3,242 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami A9539 $4,079 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale A9539 $4,079 [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.