Tc-99m exame autol wbc diag per dose cost in Indiana
TC-99M EXAME AUTOL WBC DIAG PER DOSE · HCPCS A9569
$2,393.40
lowest in Indiana
$2,393.40
state median
$5,690.40
highest in Indiana
$2,393.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $2,393.40 | $102.48 – $3,856.43 | 16 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $2,393.40 | $102.48 – $3,856.43 | 16 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood | $2,393.40 | $102.48 – $3,856.43 | 15 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers | $2,393.40 | $102.48 – $3,856.43 | 15 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil | $2,393.40 | $102.48 – $3,856.43 | 15 |
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $2,393.40 | $102.48 – $3,856.43 | 14 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel | $2,393.40 | $102.48 – $3,856.43 | 14 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh | $5,690.40 | $102.48 – $3,856.43 | 15 |