Code: A9572

Description:
Description: Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI
HC RP 111 IN PENETETRTD TO 6MC
INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI
INDIUM IN111 PENTETREOTIDE DIAGNOSTIC PER MILLICURIE
IND111 PENTREOTIDE DOSE 6MCI
IN-111 PENTETREOTIDE/DOSE
RX DX 111In Octreo per Dose
Ind111 Pentetreotide Dose
Related codes:
Code: A9570
IN111 AUTO WBC DX DOSE
Code: A9571
Description: Indium in-111 labeled autologous platelets, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
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
Florida
Hospital Address Code Price Last Updated
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring A9572 $950 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach A9572 $2,148 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach A9572 $2,512 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City A9572 $2,700 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland A9572 $2,705 [source] 4 years ago
Lake City Medical Center 340 Nw Commerce Dr, Lake City A9572 $2,708 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills A9572 $2,835 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills A9572 $2,835 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa A9572 $2,835 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa A9572 $2,835 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa A9572 $2,835 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City A9572 $3,283 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs A9572 $3,421 [source] 4 years ago
Putnam Community Medical Center 611 Zeagler Dr, Palatka A9572 $3,560 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City A9572 $4,267 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center A9572 $4,381 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach A9572 $4,427 [source] 4 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce A9572 $5,538 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala A9572 $5,571 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa A9572 $5,716 [source] 4 years ago
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach A9572 $5,897 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares A9572 $6,034 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton A9572 $6,395 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton A9572 $6,395 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring A9572 $6,482 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula A9572 $6,482 [source] 4 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie A9572 $6,753 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach A9572 $7,544 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park A9572 $7,766 [source] 4 years ago
Twin Cities Hospital 2190 Hwy 85 N, Niceville A9572 $8,252 [source] 4 years ago
Good Samaritan Medical Center 1309 North Flagler Dr., West Palm Beach A9572 $8,579 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale A9572 $8,622 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville A9572 $10,154 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola A9572 $11,256 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo A9572 $12,308 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville A9572 $14,755 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando A9572 $14,770 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson A9572 $14,792 [source] 4 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford A9572 $15,592 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg A9572 $16,665 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton A9572 $17,607 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte A9572 $17,970 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood A9572 $18,143 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness A9572 $19,784 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon A9572 $20,864 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey A9572 $20,876 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee A9572 $24,485 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando A9572 $26,854 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee A9572 $26,854 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando A9572 $26,854 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park A9572 $26,854 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa A9572 $26,854 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka A9572 $26,854 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota A9572 $27,737 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg A9572 $35,959 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala A9572 $36,087 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville A9572 $40,621 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg A9572 $40,966 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami A9572 $42,086 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale A9572 $43,548 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami A9572 $43,550 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami A9572 $47,817 [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.