Code: A9570

Description:
Description: Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE
RP INDIUM IN-111 AUTO WBC
ISOTOPE TAGGED WBC PER DOSE
IN-111 WBC DX/STUDY DOSE
RX DX In+AC0-111 WBC Autologous Susp
In111 Auto Wbc Diag/per Dose
Related codes:
Code: A9571
Description: Indium in-111 labeled autologous platelets, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9572
IN111 PENTETREOT DX 6MCI
Code: A9575
GADOTERATE MEG 10 ML
Code: A9576
PROHANCE MULTIPK 1 ML
Code: A9577
MULTIHANCE 5 ML
Code: A9578
MULTIHANCE MULTIPAC 1 ML
Code: A9579
GAD BASE MR CONT NOS 1ML
California
Hospital Address Code Price Last Updated
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar A9570 $53 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A9570 $53 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona A9570 $1,543 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale A9570 $2,269 [source] 4 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch A9570 $2,941 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A9570 $3,309 [source] 4 years ago
Alta Bates Summit Medical Center - Alta Bates Campus 2450 Ashby Ave, Berkeley A9570 $3,901 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A9570 $3,901 [source] 4 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto A9570 $3,965 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa A9570 $4,211 [source] 4 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis A9570 $4,307 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9570 $4,307 [source] 4 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn A9570 $4,307 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9570 $4,307 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9570 $4,307 [source] 4 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley A9570 $4,356 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo A9570 $4,501 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco A9570 $4,864 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco A9570 $4,864 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco A9570 $4,864 [source] 4 years ago
Sutter Amador Hospital 200 Mission Blvd,, Jackson A9570 $5,202 [source] 4 years ago
Sutter Lakeside Hospital 5176 Hill Rd E, Lakeport A9570 $5,202 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9570 $5,287 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9570 $5,287 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9570 $5,287 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9570 $5,287 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9570 $5,287 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9570 $5,287 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9570 $5,287 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9570 $5,287 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9570 $5,287 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9570 $5,287 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9570 $5,287 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9570 $5,287 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9570 $5,287 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9570 $5,287 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks A9570 $5,881 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9570 $7,520 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9570 $7,520 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9570 $7,520 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9570 $7,520 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9570 $7,520 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9570 $7,520 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9570 $7,520 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9570 $7,520 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9570 $7,520 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9570 $7,520 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9570 $7,520 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9570 $7,520 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9570 $7,520 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9570 $7,520 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9570 $7,520 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9570 $7,520 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9570 $7,520 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9570 $7,520 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9570 $7,520 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside A9570 $9,510 [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.