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
$104
Average
$129
Median
$109
High
$241
Each hospital's average Bcbs La rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 1.5× 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
12 hospital rates
iThe hospitals that file a Bcbs La 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 2 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 3 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 2 | $121 | $121 | — | — | — | $121 – $121 |
| 5 | KAPLAN GENERAL HOSPITAL, INC ST, LA fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 6 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 7 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 8 | OCHSNER BAYOU LLC Raceland, LA fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 9 | OCHSNER BAYOU LLC Raceland, LA other · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 10 | Opelousas General Main Campus Opelousas, LA facility · fee schedule · both | 4 | $121 | $121 | — | — | — | $121 – $121 |
| 11 | St. Frances Cabrini Hospital Alexandria, LA fee schedule · outpatient | 3 | $206 | $206 | — | — | — | $206 – $206 |
| 12 | St. Frances Cabrini Hospital Alexandria, LA percent of total billed charges · outpatientfrom % of charges | 1 | $344 | $344 | — | — | — | $344 – $344 |
← Payers reporting HCPCS A9516 · Snapshot 20261111T120946Z-9134e7f7