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
Texas
Hospital Address Code Price Last Updated
St. David's Healthcare , Round Rock A9570 $1,822 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston A9570 $2,452 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford A9570 $3,116 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston A9570 $3,315 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison A9570 $3,508 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9570 $3,967 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9570 $3,967 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9570 $3,967 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth A9570 $3,969 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9570 $4,660 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9570 $5,060 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9570 $7,587 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9570 $7,832 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9570 $9,371 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9570 $11,191 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9570 $11,784 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth A9570 $11,784 [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 §180.