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/2.5ML) INTRAVENOUS SOLN [110995]
Arlington, TX
See all hospitals reporting HCPCS A9584 →Price type
AMH Cath Labs LLC’s median price of $1.9k is 28% below the median hospital's median price ($2.6k), higher than 29% 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: 9 payers, 31 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $302 | $302 | — | — | — | $302 – $302 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $302 | $302 | — | — | — | $302 – $302 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $317 | $317 | — | — | — | $317 – $317 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $326 | $326 | — | — | — | $326 – $326 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Humana medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Humana medicare advantage ppo case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Molina medicare advantage case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 20 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 21 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 24 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
Last updated: Apr 21, 2026
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