Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
Medicare pricing data for 374 providers across 33 states
Prices vary significantly by location — from $945 in New Jersey to $4,047 in Minnesota. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries (HCPCS code A9584) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,600, but hospitals typically charge $5,049 — a 1.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2,600, your out-of-pocket cost would be approximately $519.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $2,070 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Minnesota | $4,047 | $5,260 | 14 | 98 | +55.7% |
| North Carolina | $3,315 | $3,652 | 4 | 73 | +27.5% |
| Pennsylvania | $2,843 | $7,447 | 8 | 42 | +9.4% |
| Iowa | $2,769 | $5,047 | 3 | 67 | +6.5% |
| Puerto Rico | $2,769 | $2,904 | 3 | 25 | +6.5% |
| California | $2,762 | $5,224 | 42 | 1,063 | +6.2% |
| Nevada | $2,756 | $3,728 | 22 | 171 | +6.0% |
| Washington | $2,748 | $5,954 | 7 | 121 | +5.7% |
| Arizona | $2,744 | $9,370 | 37 | 877 | +5.6% |
| Georgia | $2,744 | $3,905 | 6 | 149 | +5.5% |
| Indiana | $2,725 | $5,500 | 1 | 34 | +4.8% |
| Ohio | $2,683 | $3,080 | 4 | 82 | +3.2% |
| South Carolina | $2,681 | $3,488 | 1 | 25 | +3.1% |
| Missouri | $2,681 | $3,750 | 1 | 31 | +3.1% |
| Florida | $2,627 | $4,372 | 83 | 1,965 | +1.1% |
| Oregon | $2,597 | $2,787 | 5 | 24 | -0.1% |
| Arkansas | $2,593 | $5,433 | 2 | 50 | -0.3% |
| Virginia | $2,573 | $5,860 | 8 | 301 | -1.0% |
| Maine | $2,527 | $2,762 | 1 | 14 | -2.8% |
| Wisconsin | $2,514 | $9,149 | 2 | 20 | -3.3% |
| Massachusetts | $2,491 | $3,274 | 5 | 38 | -4.2% |
| Connecticut | $2,474 | $3,027 | 3 | 45 | -4.9% |
| Maryland | $2,450 | $2,731 | 11 | 361 | -5.8% |
| Colorado | $2,432 | $4,631 | 4 | 42 | -6.4% |
| Illinois | $2,431 | $4,453 | 16 | 266 | -6.5% |
| New York | $2,418 | $4,438 | 22 | 216 | -7.0% |
| Louisiana | $2,409 | $5,950 | 2 | 155 | -7.3% |
| Nebraska | $2,404 | $2,468 | 1 | 25 | -7.5% |
| Texas | $2,313 | $4,111 | 39 | 1,011 | -11.0% |
| Kansas | $2,276 | $3,000 | 1 | 11 | -12.5% |
| Mississippi | $2,266 | $4,086 | 1 | 61 | -12.8% |
| New Mexico | $1,820 | $5,194 | 2 | 16 | -30.0% |
| New Jersey | $945 | $3,842 | 7 | 75 | -63.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber