Piflufolastat f-18, diagnostic, 1 millicurie
Medicare pricing data for 1,691 providers across 44 states
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
Piflufolastat f-18, diagnostic, 1 millicurie (HCPCS code A9595) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $625.60, but hospitals typically charge $1,244 — a 2.0x 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 $625.60, your out-of-pocket cost would be approximately $125.12. 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 2.0x more than what Medicare allows for this procedure. Medicare actually pays $498.42 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Mexico | $897 | $1,897 | 12 | 1,928 | +43.4% |
| Texas | $766 | $1,666 | 284 | 13,936 | +22.5% |
| New Jersey | $762 | $1,209 | 62 | 6,156 | +21.8% |
| Louisiana | $700 | $1,819 | 15 | 1,457 | +11.9% |
| Virginia | $692 | $1,028 | 30 | 7,570 | +10.7% |
| Arkansas | $687 | $2,346 | 39 | 2,175 | +9.7% |
| District of Columbia | $673 | $1,068 | 3 | 193 | +7.5% |
| Mississippi | $672 | $2,268 | 8 | 623 | +7.5% |
| Colorado | $661 | $1,932 | 45 | 6,784 | +5.6% |
| Maryland | $649 | $760 | 62 | 13,248 | +3.8% |
| Oklahoma | $635 | $2,622 | 12 | 1,362 | +1.4% |
| Missouri | $619 | $1,236 | 13 | 802 | -1.0% |
| Massachusetts | $619 | $729 | 26 | 11,194 | -1.1% |
| South Dakota | $614 | $712 | 4 | 366 | -1.8% |
| Utah | $614 | $1,519 | 12 | 659 | -1.8% |
| Oregon | $614 | $1,008 | 24 | 1,523 | -1.9% |
| Maine | $613 | $697 | 3 | 551 | -2.0% |
| Rhode Island | $609 | $1,120 | 1 | 425 | -2.6% |
| Minnesota | $609 | $1,223 | 53 | 3,885 | -2.7% |
| Arizona | $608 | $1,205 | 76 | 10,979 | -2.8% |
| California | $608 | $1,156 | 261 | 42,385 | -2.8% |
| Nevada | $608 | $1,348 | 19 | 1,607 | -2.9% |
| Kansas | $608 | $702 | 7 | 3,078 | -2.9% |
| Washington | $607 | $1,247 | 27 | 4,777 | -3.0% |
| Connecticut | $606 | $1,011 | 3 | 784 | -3.1% |
| Wisconsin | $605 | $1,026 | 17 | 1,881 | -3.3% |
| Pennsylvania | $605 | $878 | 46 | 5,456 | -3.3% |
| Kentucky | $604 | $804 | 2 | 177 | -3.4% |
| Illinois | $601 | $1,172 | 82 | 8,539 | -3.9% |
| North Carolina | $598 | $1,339 | 28 | 3,405 | -4.4% |
| Delaware | $598 | $693 | 1 | 146 | -4.4% |
| Idaho | $597 | $1,166 | 4 | 218 | -4.6% |
| New Hampshire | $594 | $631 | 3 | 963 | -5.1% |
| Tennessee | $591 | $1,248 | 10 | 3,695 | -5.5% |
| New York | $590 | $1,604 | 128 | 27,956 | -5.7% |
| Michigan | $588 | $750 | 5 | 533 | -5.9% |
| Montana | $583 | $1,380 | 1 | 234 | -6.8% |
| Alabama | $582 | $702 | 29 | 2,641 | -7.0% |
| South Carolina | $582 | $1,086 | 22 | 4,260 | -7.0% |
| Indiana | $581 | $841 | 24 | 2,285 | -7.2% |
| Florida | $579 | $1,108 | 129 | 19,581 | -7.4% |
| Nebraska | $549 | $896 | 4 | 94 | -12.3% |
| Ohio | $544 | $2,137 | 39 | 3,305 | -13.1% |
| Georgia | $517 | $798 | 9 | 965 | -17.3% |
⚠️ 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