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
Texas
Hospital Address Code Price Last Updated
Texas Children's Hospital 6621 Fannin St Houston, Houston A9572 $2,138 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine A9572 $3,269 [source] 4 years ago
The Hospitals Of Providence East Campus 3280 Joe Battle Blvd., El Paso A9572 $3,819 [source] 4 years ago
St. David's Healthcare , Round Rock A9572 $5,871 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth A9572 $6,587 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo A9572 $6,854 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9572 $7,082 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9572 $7,123 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison A9572 $7,200 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9572 $9,138 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9572 $9,138 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9572 $9,138 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9572 $12,042 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9572 $12,738 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth A9572 $12,774 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9572 $12,774 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9572 $12,799 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9572 $13,025 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi A9572 $13,161 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9572 $13,467 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9572 $13,918 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen A9572 $14,119 [source] 4 years ago
Valley Regional Medical Center 100-A Alton Gloor Blvd, Brownsville A9572 $15,106 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth A9572 $18,878 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9572 $19,487 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9572 $19,487 [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.