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
NM DOSE I 123 DIAG IOFLUPANE UP TO 5 MCI
Rapids, MN
See all hospitals reporting HCPCS A9584 →Price type
Allina Health Systems’s median price of $4.5k is 72% above the median hospital's median price ($2.6k), higher than 78% of the 1,473 hospitals reporting HCPCS A9584. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Medicare medicare (m) facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | Medica medica medicare (m) facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 8 | Bcbs Mn bc premier (m u) facility · other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 9 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 10 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 12 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 13 | UnitedHealthcare united healthcare (um) facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 14 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
Last updated: Jun 17, 2026
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