HCPCS A9584

Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries

Current code38 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS A9584 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$6,416	$8,020
Highline Medical CenterBurienFile dated 2026-02-28	—	$3,071 – $5,118	$10,056 – $16,759
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$3,058 – $5,097	$10,056 – $16,759
St Clare HospitalLakewoodFile dated 2026-02-28	—	$2,898 – $4,831	$10,056 – $16,759
St Elizabeth HospitalEnumclawFile dated 2026-02-28	—	$3,553 – $5,922	$10,056 – $16,759
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$3,156 – $5,260	$10,056 – $16,759
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$3,330 – $5,551	$10,056 – $16,759
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$4,438 – $7,397	$10,056 – $16,759
Virginia Mason Medical CenterSeattle	—	$4,531	$8,885
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$5,565 – $11,130	$13,913 – $27,825

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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