HCPCS A9582
Iodine i-123 iobenguane, diagnostic, per study dose, up to 15 millicuries
Current code40 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $7,263 | $18,157 |
| Deaconess Medical Center | — | $6,567 | $16,418 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $3,386 | $11,088 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $7,263 | $18,157 |
| MultiCare Auburn Medical Center | — | $7,263 | $18,157 |
| MultiCare Covington Medical Center | — | $7,263 | $18,157 |
| MultiCare Good Samaritan Hospital | — | $7,263 | $18,157 |
| MultiCare Valley Hospital | — | $6,567 | $16,418 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $9,261 | $14,248 |
| PeaceHealth Southwest Medical Cente | — | $9,261 | $14,248 |
| PeaceHealth St John Medical Center | — | $9,261 | $14,248 |
| PeaceHealth St Joseph Medical Center | — | $9,261 | $14,248 |
| PeaceHealth United General Medical Center | — | $9,261 | $14,248 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $2,800 | $4,000 |
| Providence Centralia Hospital | — | $2,080 | $4,000 |
| Providence Holy Family Hospital | — | $2,800 | $4,000 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | $2,080 | $4,000 |
| Seattle Children's Hospital | $3,449 | $13,688 | $13,688 |
| St Anthony Hospital | — | $3,372 | $11,088 |
| St Clare Hospital | — | $3,196 | $11,088 |
| St Elizabeth Hospital | — | $3,918 | $11,088 |
| St Francis Community Hospital | — | $3,480 | $11,088 |
| St Joseph Medical Center | — | $3,672 | $11,088 |
| St Michael Medical Center | — | $4,894 | $11,088 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $7,200 – $7,263 | $17,999 – $18,157 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $5,668 | $11,113 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | $1,157 – $4,730 | $2,892 – $11,824 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $2,318 (APC 0780)
- Surgery center payment (national)
- $2,318