HCPCS A9584
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
Current code38 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,943 – $16,769 | — | — |
| Deaconess Medical Center | $1,943 – $11,142 | — | — |
| EvergreenHealth Medical Center | $2,517 – $7,762 | $6,416 | $8,020 |
| Harborview Medical Center | $2,220 – $3,014 | — | — |
| Highline Medical Center | $1,388 – $15,084 | $3,071 – $5,118 | $10,056 – $16,759 |
| Island Hospital | $2,594 – $2,918 | — | — |
| Kadlec Regional Medical Center | $2,345 – $5,274 | — | — |
| Mary Bridge Children's Hospital | $3,192 – $27,010 | — | — |
| MultiCare Auburn Medical Center | $1,943 – $8,824 | — | — |
| MultiCare Covington Medical Center | $1,943 – $8,824 | — | — |
| MultiCare Good Samaritan Hospital | $1,943 – $8,824 | — | — |
| MultiCare Valley Hospital | $1,943 – $11,142 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $1,249 – $4,984 | — | — |
| PeaceHealth Peace Island Medical Center | — | $2,076 | $3,194 |
| PeaceHealth Southwest Medical Cente | $555 – $4,503 | $2,076 | $3,194 |
| PeaceHealth St John Medical Center | $555 – $1,388 | $2,076 | $3,194 |
| PeaceHealth St Joseph Medical Center | $1,388 | $2,076 | $3,194 |
| PeaceHealth United General Medical Center | — | $2,076 | $3,194 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,345 – $4,604 | — | — |
| Providence Centralia Hospital | $2,345 – $5,274 | — | — |
| Providence Holy Family Hospital | $1,665 – $5,088 | — | — |
| Providence Regional Medical Center Everett | $1,665 – $4,304 | — | — |
| St Anthony Hospital | $1,388 – $12,570 | $3,058 – $5,097 | $10,056 – $16,759 |
| St Clare Hospital | $1,388 – $12,570 | $2,898 – $4,831 | $10,056 – $16,759 |
| St Elizabeth Hospital | $1,388 – $15,084 | $3,553 – $5,922 | $10,056 – $16,759 |
| St Francis Community Hospital | $1,388 – $12,570 | $3,156 – $5,260 | $10,056 – $16,759 |
| St Joseph Medical Center | $1,388 – $12,570 | $3,330 – $5,551 | $10,056 – $16,759 |
| St Michael Medical Center | $3,235 – $15,084 | $4,438 – $7,397 | $10,056 – $16,759 |
| Swedish Edmonds Hospital | $2,082 – $4,997 | — | — |
| Swedish Issaquah | $2,082 – $5,886 | — | — |
| Swedish Medical Center | $2,082 – $5,886 | — | — |
| Swedish Medical Center / Cherry Hill | $2,082 – $5,886 | — | — |
| Tacoma General Allenmore Hospital | $1,943 – $8,824 | — | — |
| University of Washington Medical Ctr | $1,777 – $4,352 | — | — |
| Virginia Mason Medical Center | $1,388 – $7,108 | $4,531 | $8,885 |
| Wellfound Behavioral Health Hospital | $3,502 | — | — |
| Yakima Valley Memorial | $2,176 – $23,652 | $5,565 – $11,130 | $13,913 – $27,825 |
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)
- $1,388 (APC 0781)
- Surgery center payment (national)
- $1,388