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
I-123 OFLUPANE DX/STUDY DOSE TO 5MCI
Hackensack, NJ
See all hospitals reporting HCPCS A9584 →Price type
Hmh Hospitals Corporation’s median price of $4.7k is 81% above the median hospital's median price ($2.6k), higher than 80% 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, 16 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 | Optum managed medicaid facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Optum medicare advantage facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | WellCare managed medicaid facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | WellCare medicare advantage facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 10 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 11 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 12 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 13 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 14 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 15 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 16 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
Last updated: Dec 31, 2025
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