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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,360 – $1,496 | — | — |
| Deaconess Medical Center | $1,360 – $1,496 | — | — |
| EvergreenHealth Medical Center | — | $6,416 | $8,020 |
| Harborview Medical Center | $1,388 – $1,527 | — | — |
| Highline Medical Center | $1,545 – $1,777 | $3,071 – $5,118 | $10,056 – $16,759 |
| Island Hospital | $1,621 – $1,718 | — | — |
| Kadlec Regional Medical Center | $1,388 – $1,665 | — | — |
| Mary Bridge Children's Hospital | $1,360 – $1,496 | — | — |
| MultiCare Auburn Medical Center | $1,360 – $1,496 | — | — |
| MultiCare Covington Medical Center | $1,360 – $1,496 | — | — |
| MultiCare Good Samaritan Hospital | $1,360 – $1,496 | — | — |
| MultiCare Valley Hospital | $1,401 – $1,496 | — | — |
| Olympic Medical Center | $1,702 – $2,188 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,388 – $1,443 | — | — |
| PeaceHealth Peace Island Medical Center | — | $2,076 | $3,194 |
| PeaceHealth Southwest Medical Cente | $1,388 – $1,596 | $2,076 | $3,194 |
| PeaceHealth St John Medical Center | $1,082 – $1,527 | $2,076 | $3,194 |
| PeaceHealth St Joseph Medical Center | $1,388 – $1,527 | $2,076 | $3,194 |
| PeaceHealth United General Medical Center | — | $2,076 | $3,194 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,388 – $1,665 | — | — |
| Providence Centralia Hospital | $1,388 – $2,220 | — | — |
| Providence Holy Family Hospital | $1,388 – $1,527 | — | — |
| Providence Regional Medical Center Everett | $1,388 – $1,527 | — | — |
| St Anthony Hospital | $1,573 – $1,809 | $3,058 – $5,097 | $10,056 – $16,759 |
| St Clare Hospital | $1,573 – $1,809 | $2,898 – $4,831 | $10,056 – $16,759 |
| St Elizabeth Hospital | $1,810 – $3,687 | $3,553 – $5,922 | $10,056 – $16,759 |
| St Francis Community Hospital | $1,545 – $1,777 | $3,156 – $5,260 | $10,056 – $16,759 |
| St Joseph Medical Center | $1,573 – $1,809 | $3,330 – $5,551 | $10,056 – $16,759 |
| St Michael Medical Center | $1,618 – $1,747 | $4,438 – $7,397 | $10,056 – $16,759 |
| Swedish Edmonds Hospital | $1,388 – $1,665 | — | — |
| Swedish Issaquah | $1,388 – $1,665 | — | — |
| Swedish Medical Center | $1,388 – $1,665 | — | — |
| Swedish Medical Center / Cherry Hill | $1,388 – $1,665 | — | — |
| Tacoma General Allenmore Hospital | $1,360 – $1,496 | — | — |
| University of Washington Medical Ctr | $1,388 – $1,527 | — | — |
| Virginia Mason Medical Center | $972 – $1,457 | $4,531 | $8,885 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,360 – $1,523 | $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