What does code A9569 cost?

Across the published hospital price files, the disclosed cash price for A9569 ranges from $1,841 to $6,015. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

A9569 is the billing code hospitals use to identify "HC TECHNETIUM TC-99M AUTO WBC DIAGNOSTIC PER STUDY DOSE" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

A9569

HCPCS

HC TECHNETIUM TC-99M AUTO WBC DIAGNOSTIC PER STUDY DOSE

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A9569 (HC TECHNETIUM TC-99M AUTO WBC DIAGNOSTIC PER STUDY DOSE) appears at 12 hospitals with disclosed cash prices from $1,841 to $6,015. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare A9569 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code A9569 vary by about 3.3× across the 11 hospitals with disclosed prices here — from $1,841 to $6,015. Shopping around can matter.

Hospitals

Prices shown

$1,841

Lowest cash

$6,015

Highest cash

code A9569 cash price13 disclosed · 11 hospitals

$1,841median ~$3,431$6,015

Lowest cash price by hospital

Three Rivers Health$1,841
Froedtert Holy Family Memorial Hospital$2,408
Munson Healthcare Cadillac$2,697
Munson Healthcare Grayling$2,933
Munson Medical Center$3,431
Aurora Medical Center Fond du Lac$4,150

Cash price by city

Reflects your current filters.

Cash price by city$1,841 – $4,150

THREE RIVERS · 1 hospital$1,841
Manitowoc · 1 hospital$2,408
Cadillac · 1 hospital$2,697
Grayling · 1 hospital$2,933
Traverse City · 1 hospital$3,431
Fond Du Lac · 1 hospital$4,150

16 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC TECHNETIUM TC-99M AUTO WBC DIAGNOSTIC PER STUDY DOSE Inpatient & outpatient	Endeavor Health Edward Hospital	A9569 HCPCS	$6,015	$6,015	—	—
Technetium TC-99m auto WBC Outpatient	Endeavor Health Edward Hospital	A9569 HCPCS	—	—	$934 – $4,036	—
Hc Tc99M Exametazime Dx Per Study Dose Inpatient & outpatient	University of Chicago Medical Center	A9569 HCPCS	—	—	—	—
Technetium TC-99m auto WBC Outpatient	University of Chicago Medical Center	A9569 HCPCS	—	—	—	—
HB TC99M LABELED WBC Inpatient & outpatient	Endeavor Health Swedish Hospital	A9569 HCPCS	$6,015	$6,015	—	—
RRX TC-99M EXAMETAZINE AUTOLOGOUS WBC'S PER DOSE Inpatient	Aurora Medical Center Fond du Lac	A9569 HCPCS	$8,300	$4,150	$4,980 – $7,055	—
RRX TC-99M EXAMETAZINE AUTOLOGOUS WBC'S PER DOSE Inpatient	Aurora Medical Center Grafton	A9569 HCPCS	$8,300	$4,150	$4,980 – $7,055	—
RRX TC-99M EXAMETAZINE AUTOLOGOUS WBC'S PER DOSE Inpatient	Aurora Medical Center Kenosha	A9569 HCPCS	$8,300	$4,150	$4,980 – $7,055	—
RRX TC-99M EXAMETAZINE AUTOLOGOUS WBC'S PER DOSE Inpatient	Aurora Lakeland Medical Center	A9569 HCPCS	$8,300	$4,150	$4,980 – $7,055	—
technetium Tc-99m associated WBCs Kit 30 millicurie Inpatient	Froedtert Holy Family Memorial Hospital	A9569 HCPCS	$4,378	$2,408	$2,189 – $3,853	—
1206 TC 99M EXAMETAZINE Outpatient	Munson Healthcare Grayling	A9569 HCPCS	$3,451	$2,933	$489 – $2,933	—
1206 TC 99M EXAMETAZINE Inpatient	Munson Healthcare Cadillac	A9569 HCPCS	$3,173	$2,697	$852 – $2,697	—
TC 99M EXAMETAZINE Inpatient	Munson Healthcare Cadillac	A9569 HCPCS	$3,173	$2,697	$852 – $2,697	—
1206 TC 99M EXAMETAZINE Outpatient	Munson Medical Center	A9569 HCPCS	$4,036	$3,431	$489 – $3,955	—
TC 99M EXAMETAZINE Outpatient	Munson Medical Center	A9569 HCPCS	$4,036	$3,431	$489 – $3,955	—
NM Technetium TC-99M Ceretec WBC Inpatient	Three Rivers Health	A9569 CPT	$2,833	$1,841	$567 – $2,833	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish A9569 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Endeavor Health Swedish Hospital Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Froedtert Holy Family Memorial Hospital Munson Healthcare Grayling Munson Healthcare Cadillac Munson Medical Center Three Rivers Health

Code A9569: frequently asked

What does code A9569 cost?: Across the published hospital price files, the disclosed cash price for A9569 ranges from $1,841 to $6,015. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code A9569?: A9569 is the billing code hospitals use to identify "HC TECHNETIUM TC-99M AUTO WBC DIAGNOSTIC PER STUDY DOSE" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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