Iodine-131 sodium iodide capsule, diagnostic

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SODIUM IODIDE-131 (I-131) 3.7 MBQ (100 MICROCI) CAPSULE (UW 207501)

Payers reporting HCPCS A9528

Payer pricing summary

Low

$15

Average

$398

Median

$251

High

$3.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +24 other terms	408	$161	$217	$339	156%	1–10	$1 – $4.3k
2	Anthem fee schedule · outpatient · +19 other terms	35	$48	$72	$228	316%	1–10	$1 – $1.8k
3	Cigna fee schedule · outpatient · +18 other terms	221	$150	$393	$604	154%	—	$23 – $2.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	153	$142	$154	$95	61%	—	$1 – $1.4k
5	Humana fee schedule · outpatient · +17 other terms	76	$254	$273	$146	53%	—	$1 – $456
6	Aetna fee schedule · outpatient · +24 other terms	67	$264	$598	$834	139%	—	$1 – $3.2k
7	Kaiser fee schedule · both · +14 other terms	45	$151	$143	$52	36%	—	$30 – $403
8	MultiPlan fee schedule · outpatient · +12 other terms	45	$110	$160	$113	71%	—	$28 – $361
9	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	25	$89	$154	$107	69%	—	$60 – $409
10	First Health fee schedule · inpatient · +13 other terms	24	$139	$147	$87	59%	—	$36 – $261
11	Molina fee schedule · outpatient · +16 other terms	22	$43	$68	$102	150%	—	$1 – $577
12	Medica fee schedule · outpatient · +12 other terms	19	$140	$179	$67	38%	—	$30 – $257
13	Sanford Health Plan facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms	19	$131	$132	$66	49%	—	$82 – $497
14	Caresource facility · case rate · outpatient · +13 other terms	15	$120	$125	$24	19%	—	$80 – $203
15	Medicaid fee schedule · outpatient · +8 other terms	15	$147	$372	$454	122%	—	$1 – $1.3k
16	Carefirst facility · fee schedule · both · +6 other terms	14	$585	$674	$579	86%	—	$33 – $1.6k
17	Excellus facility · fee schedule · both · +6 other terms	14	$585	$674	$579	86%	—	$33 – $1.6k
18	Highmark facility · fee schedule · both · +9 other terms	14	$585	$769	$562	73%	—	$33 – $1.6k
19	Premera facility · fee schedule · both · +6 other terms	14	$585	$674	$579	86%	—	$33 – $1.6k
20	Regence facility · fee schedule · both · +9 other terms	14	$585	$694	$581	84%	—	$33 – $1.6k
21	Wellmark facility · fee schedule · both · +7 other terms	14	$585	$674	$579	86%	—	$33 – $1.6k
22	Amerihealth Caritas other · outpatient · +5 other terms	12	$1.1k	$1.4k	$982	68%	—	$18 – $2.1k
23	Bcbs Mn fee schedule · outpatient · +8 other terms	12	$523	$408	$270	66%	—	$0 – $654
24	Bcbs Tx fee schedule · outpatient · +4 other terms	12	$229	$194	$56	29%	—	$80 – $268
25	Bcbs Az facility · fee schedule · outpatient	11	$158	$157	$36	23%	—	$59 – $204

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