Cost analysis for CPT A9555 — Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 15.6x more than the cheapest for this procedure. AR averages $1250.06 vs IA at $80.13.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AR | $1250.06 | $881.3K | 705 | 2 |
| OK | $901.04 | $819.9K | 910 | 2 |
| PA | $670.34 | $4.6M | 6.8K | 61 |
| NC | $648.93 | $653.5K | 1.0K | 1 |
| NJ | $635.87 | $3.8M | 6.0K | 45 |
| DE | $607.56 | $977.6K | 1.6K | 5 |
| IL | $568.71 | $17.0M | 29.9K | 38 |
| MD | $543.08 | $2.6M | 4.7K | 33 |
| LA | $540.83 | $4.6M | 8.5K | 61 |
| TX | $496.41 | $16.4M | 33.0K | 213 |
| KS | $441.58 | $1.1M | 2.5K | 14 |
| WI | $417.35 | $313.4K | 751 | 10 |
| MS | $414.21 | $2.0M | 4.9K | 38 |
| AZ | $412.27 | $4.6M | 11.1K | 56 |
| OR | $411.85 | $380.1K | 923 | 6 |
| CA | $411.80 | $30.2M | 73.3K | 184 |
| CT | $407.30 | $232.2K | 570 | 9 |
| NV | $405.37 | $2.8M | 6.9K | 31 |
| UT | $404.81 | $355.0K | 877 | 8 |
| WA | $401.93 | $926.0K | 2.3K | 17 |
| AK | $399.70 | $602.3K | 1.5K | 10 |
| MO | $389.59 | $294.5K | 756 | 8 |
| MA | $374.83 | $118.8K | 317 | 3 |
| NY | $335.92 | $6.0M | 18.0K | 70 |
| MI | $326.76 | $76.5K | 234 | 2 |
| FL | $312.65 | $11.7M | 37.5K | 178 |
| VA | $284.62 | $2.1M | 7.4K | 49 |
| OH | $257.10 | $36.5K | 142 | 3 |
| AL | $234.16 | $2.4M | 10.5K | 54 |
| GA | $225.08 | $1.3M | 5.9K | 38 |
| KY | $216.80 | $307.2K | 1.4K | 4 |
| IA | $80.13 | $165.9K | 2.1K | 7 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Cardiac Imaging Inc | Independent Diagnostic Testing Facility (IDTF) | IL | $11.3M | 16.2K | $697.65 |
| Modern Nuclear, Inc. | Independent Diagnostic Testing Facility (IDTF) | CA | $4.3M | 10.5K | $407.83 |
| Victor Gabrielian | Cardiology | CA | $1.3M | 3.1K | $417.35 |
| Hanumandla Reddy | Cardiology | CA | $1.2M | 2.9K | $408.11 |
| Mohamed Khan | Interventional Cardiology | CA | $1.1M | 2.7K | $417.40 |
| Athar Ansari | Cardiology | CA | $900.6K | 2.2K | $407.51 |
| Conway Vein And Vascular | Independent Diagnostic Testing Facility (IDTF) | AR | $810.3K | 531 | $1526.03 |
| Vikram Lakireddy | Cardiology | CA | $780.7K | 1.9K | $417.04 |
| David Cusick | Cardiology | IL | $757.2K | 1.9K | $405.57 |
| David Kassop | Cardiology | NC | $653.5K | 1.0K | $648.93 |
| Michael Krueger | Cardiology | CA | $595.1K | 1.5K | $406.46 |
| Kusai Aziz | Cardiology | CA | $578.5K | 1.4K | $417.40 |
| Sarabjeet Singh | Cardiology | CA | $577.2K | 1.4K | $407.02 |
| Khoi Le | Cardiology | CA | $571.3K | 1.4K | $406.32 |
| Russell Fileccia | Cardiology | LA | $533.3K | 812 | $656.79 |
| Shashi Sharma | Cardiology | CA | $502.8K | 1.2K | $412.12 |
| Marcus Smith | Interventional Cardiology | OK | $489.3K | 549 | $891.23 |
| Stephen Savran | Cardiology | NV | $484.8K | 1.2K | $404.03 |
| Armita Atashband | Interventional Cardiology | TX | $470.9K | 774 | $608.39 |
| Edward Rutkovsky | Cardiology | NY | $470.2K | 1.1K | $418.68 |
The data suggests significant pricing inconsistencies for CPT A9555. With a 15.6x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.