Cost analysis for CPT A9500 — Technetium tc-99m sestamibi, diagnostic, per study dose
Average Medicare Payment
$88.91
2023 data
Total Payments (2023)
$53.4M
Services (2023)
620.5K
Price Change (2014–2023)
-16.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $105.97 | $107.5M | 1.0M | — |
| 2015 | $107.51 | $108.6M | 1.0M | +1.5% |
| 2016 | $103.66 | $105.3M | 1.0M | -3.6% |
| 2017 | $104.43 | $102.3M | 983.9K | +0.7% |
| 2018 | $95.99 | $88.0M | 921.9K | -8.1% |
| 2019 | $100.68 | $87.7M | 873.1K | +4.9% |
| 2020 | $101.82 | $69.1M | 688.2K | +1.1% |
| 2021 | $101.91 | $71.5M | 705.5K | +0.1% |
| 2022 | $97.42 | $60.0M | 633.6K | -4.4% |
| 2023 | $88.91 | $53.4M | 620.5K | -8.7% |
The most expensive state pays 6.6x more than the cheapest for this procedure. GU averages $186.32 vs SD at $28.24.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| GU | $186.32 | $138.2K | 742 | 1 |
| NM | $183.82 | $69.3K | 377 | 5 |
| WY | $125.22 | $173.8K | 1.4K | 11 |
| PA | $119.92 | $687.6K | 5.7K | 88 |
| ID | $118.52 | $111.6K | 942 | 5 |
| KS | $117.93 | $567.4K | 4.8K | 23 |
| NE | $115.11 | $481.5K | 4.2K | 18 |
| MI | $113.47 | $2.2M | 19.6K | 119 |
| IN | $112.41 | $648.5K | 5.8K | 38 |
| MO | $112.23 | $511.3K | 4.6K | 46 |
| NJ | $110.20 | $1.9M | 17.2K | 198 |
| MD | $107.65 | $1.3M | 12.0K | 103 |
| IA | $103.42 | $475.1K | 4.6K | 33 |
| MS | $101.09 | $172.7K | 1.7K | 24 |
| MN | $98.19 | $119.6K | 1.2K | 35 |
| CO | $97.98 | $74.2K | 757 | 22 |
| DC | $96.48 | $70.1K | 727 | 11 |
| TX | $96.10 | $2.9M | 29.9K | 374 |
| NH | $94.78 | $27.2K | 287 | 1 |
| IL | $94.19 | $1.7M | 18.6K | 99 |
| RI | $92.04 | $154.4K | 1.7K | 13 |
| VT | $91.94 | $29.9K | 325 | 2 |
| MA | $90.92 | $1.2M | 13.4K | 80 |
| AK | $90.52 | $148.6K | 1.6K | 14 |
| PR | $90.06 | $75.7K | 840 | 10 |
| VA | $89.92 | $1.5M | 16.2K | 95 |
| NY | $88.79 | $6.1M | 68.6K | 382 |
| FL | $87.76 | $10.8M | 123.4K | 627 |
| SC | $86.67 | $2.1M | 24.1K | 112 |
| DE | $86.42 | $333.1K | 3.9K | 24 |
| TN | $85.83 | $562.6K | 6.6K | 36 |
| AL | $85.66 | $1.1M | 12.8K | 91 |
| GA | $85.44 | $802.2K | 9.4K | 60 |
| AR | $85.38 | $217.2K | 2.5K | 21 |
| LA | $84.17 | $668.0K | 7.9K | 91 |
| NC | $84.11 | $2.3M | 27.6K | 201 |
| CT | $84.05 | $713.2K | 8.5K | 79 |
| HI | $83.81 | $50.3K | 600 | 4 |
| WV | $83.49 | $414.1K | 5.0K | 16 |
| WI | $79.12 | $282.0K | 3.6K | 33 |
| OK | $76.48 | $105.6K | 1.4K | 13 |
| CA | $75.10 | $5.9M | 79.2K | 433 |
| ND | $69.81 | $9.8K | 140 | 2 |
| AZ | $63.88 | $2.2M | 33.7K | 173 |
| OR | $56.33 | $99.5K | 1.8K | 18 |
| UT | $43.59 | $93.1K | 2.1K | 14 |
| NV | $42.37 | $542.8K | 12.8K | 80 |
| KY | $39.80 | $88.0K | 2.2K | 11 |
| WA | $37.77 | $88.0K | 2.3K | 29 |
| OH | $36.41 | $403.5K | 11.1K | 74 |
| SD | $28.24 | $7.9K | 281 | 4 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Milind Parikh | Cardiology | CA | $252.6K | 1.3K | $195.97 |
| Daniel Riegel | Cardiology | NY | $213.4K | 2.3K | $91.85 |
| Rodney Randall | Cardiology | FL | $184.4K | 2.1K | $87.88 |
| Georg Couturier | Cardiology | FL | $182.6K | 2.1K | $86.08 |
| Amy Eversole | Cardiology | FL | $141.6K | 1.6K | $89.81 |
| Yoichi Inaba | Diagnostic Radiology | GU | $138.2K | 742 | $186.32 |
| Charles Jost | Cardiology | AZ | $138.2K | 266 | $519.61 |
| Nareg Minaskeian | Clinical Cardiac Electrophysiology | AZ | $133.6K | 261 | $511.78 |
| Muhammad Khan | Cardiology | KS | $132.3K | 1.2K | $114.04 |
| Haysam Akkad | Cardiology | NE | $130.8K | 884 | $147.99 |
| Richard Jacaruso | Cardiology | NY | $123.0K | 1.3K | $93.79 |
| Kandarp Patel | Cardiology | TN | $122.6K | 1.4K | $87.02 |
| Katherine Ludington | Cardiology | CA | $120.3K | 478 | $251.72 |
| David Lee | Cardiology | CA | $119.9K | 316 | $379.46 |
| Ahtisham Shakoor | Cardiology | AZ | $110.9K | 229 | $484.40 |
| Michael Levine | Cardiology | NY | $110.8K | 1.2K | $95.22 |
| Hormoz Kianfar | Cardiology | NY | $109.3K | 623 | $175.52 |
| B Chandramouli | Cardiology | CA | $106.1K | 1.1K | $95.26 |
| Hiren Patel | Cardiology | FL | $106.1K | 1.2K | $90.12 |
| Amit Nanavati | Cardiology | FL | $106.0K | 1.2K | $90.27 |
The data suggests significant pricing inconsistencies for CPT A9500. With a 6.6x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 16.1% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.