Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
IOFLUPANE I 123 5 MCI/2.5 ML (185 MBQ/2.5 ML) INTRAVENOUS SOLUTION
Low
$0
Average
$3.9k
Median
$2.6k
High
$338.4k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1055 hospitals; the 90th percentile is 5.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
1,743 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | — | — | 32–50 | $1.4k – $1.4k |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6.0k | $6.5k | $1.8k | 27% | 6–60 | $3.9k – $8.9k |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6.0k | $6.5k | $1.8k | 27% | 6–60 | $3.9k – $8.9k |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $3.4k | $4.4k | $2.3k | 52% | 4–40 | $2.5k – $8.9k |
| 5 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | 2–20 | $4.7k – $4.7k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $2.7k | $2.7k | $1.8k | 65% | 2–20 | $972 – $4.5k |
| 7 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 4 | $2.8k | $3.3k | $1.6k | 48% | 2–20 | $1.3k – $5.7k |
| 8 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 9 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 10 | Boston Medical Center Boston, MA other · both | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 13 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11.8k | $11.8k | — | — | 1–10 | $11.8k – $11.8k |
| 14 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 15 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 16 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $100 | $445 | $597 | 134% | 1–10 | $100 – $1.5k |
| 17 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 18 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 19 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 3 | $3.6k | $3.3k | $1.6k | 49% | 1–10 | $1.2k – $5.0k |
| 20 | Lowell General Hospital Lowell, MA fee schedule · both | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 21 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 2 | $6.3k | $6.3k | $103 | 2% | 1–10 | $6.2k – $6.4k |
| 22 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 23 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 24 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 25 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
← Payers reporting HCPCS A9584 · Snapshot 20261111T120946Z-9134e7f7