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
$372
Average
$3.9k
Median
$3.0k
High
$22.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
754 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.
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1,068 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $5.7k | $5.1k | $1.6k | 32% | 18–45 | $1.3k – $6.1k |
| 2 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $5.3k | $2.1k | 39% | 6–60 | $2.6k – $8.1k |
| 3 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $5.3k | $2.1k | 39% | 6–60 | $2.6k – $8.1k |
| 4 | Mayo Clinic Rochester, MN facility · other · both | 3 | $1.5k | $1.4k | $19 | 1% | 4–40 | $1.4k – $1.5k |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $2.9k | $2.7k | $473 | 17% | 4–40 | $2.0k – $3.2k |
| 6 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 19 | $4.2k | $4.1k | $794 | 19% | 4–40 | $2.7k – $5.0k |
| 7 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $1.1k | $1.1k | — | — | 3–30 | $1.1k – $1.1k |
| 8 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $2.6k | $2.5k | $184 | 7% | 3–30 | $2.2k – $2.7k |
| 9 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $3.7k | $3.6k | $90 | 2% | 3–30 | $3.5k – $3.7k |
| 10 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · both | 1 | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 11 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 12 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11.2k | $11.2k | — | — | 1–10 | $11.2k – $11.2k |
| 13 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.1k | $10.1k | — | — | 1–10 | $10.1k – $10.1k |
| 14 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $5.9k | $5.0k | $1.8k | 35% | 1–10 | $1.5k – $5.9k |
| 15 | Mayo Clinic Rochester, MN facility · fee schedule · both | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $5.9k | $5.3k | $1.6k | 31% | 1–10 | $1.3k – $6.2k |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 19 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 20 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 21 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 22 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 23 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 2 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 24 | The University of Texas Medical Branch Webster, TX other · both | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 25 | Tufts Medical Center BOSTON, MA other · both | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
← Payers reporting HCPCS A9584 · Snapshot 20261111T120946Z-9134e7f7