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
SODIUM IODIDE-123 >/= 1 MILLICURIE ORAL SOLUTION
Low
$3
Average
$310
Median
$87
High
$2.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 215.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
76 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $763 | $763 | — | — | 1–10 | $763 – $763 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $69 | $87 | $48 | 56% | — | $36 – $162 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $72 | $90 | $50 | 56% | — | $38 – $166 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $89 | $50 | 56% | — | $37 – $166 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $70 | $88 | $49 | 56% | — | $36 – $166 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $69 | $86 | $49 | 56% | — | $35 – $166 |
| 7 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $83 | $47 | 57% | — | $33 – $162 |
| 13 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $91 | $114 | $63 | 56% | — | $48 – $211 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $89 | $111 | $62 | 56% | — | $45 – $211 |
| 15 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $83 | $47 | 57% | — | $33 – $162 |
| 16 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $104 | $130 | $72 | 55% | — | $58 – $227 |
| 18 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $76 | $42 | 55% | — | $34 – $134 |
| 19 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 20 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 21 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 22 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 1 | $738 | $738 | — | — | — | $738 – $738 |
| 23 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 24 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | Johnson County Community Hospital MOUNTAIN CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
← Payers reporting HCPCS A9509 · Snapshot 20261111T120946Z-9134e7f7