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)

UnitedHealthcare pricing summary

Low

Average

$246

Median

$159

High

$7.2k

UnitedHealthcare rate distribution

Filter by billing methodology

Filter by billing class

1,418 hospital rates

#		Plans
1	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges	11	$89	$366	$293	80%	10–100	$67 – $674
2	Saint Luke’s South Hospital, Inc Leawood, KS fee schedule · both	13	$156	$153	$10	7%	4–40	$117 – $156
3	Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$779	$779	—	—	2–20	$779 – $779
4	Saint Luke’s North Hospital Smithville, MO fee schedule · both	13	$156	$153	$10	7%	2–20	$117 – $156
5	Saint Luke’s North Hospital City, KS fee schedule · both	13	$156	$153	$10	7%	2–20	$117 – $156
6	Indiana University Health Inc. Martinsville, IN fee schedule · outpatient	1	$4.3k	$4.3k	—	—	1–10	$4.3k – $4.3k
7	MCLAREN MACOMB CLEMENS, MI percent of total billed chargesfrom % of charges	1	$337	$337	—	—	1–10	$337 – $337
8	ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges	12	$123	$157	$150	95%	1–10	$56 – $674
9	St. Peter's Health Helena, MT percent of total billed charges · outpatientfrom % of charges	1	$39	$39	—	—	1–10	$39 – $39
10	ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges	2	$948	$948	$24	3%	—	$923 – $972
11	AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges	2	$100	$100	—	—	—	$100 – $100
12	AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges	1	$126	$126	—	—	—	$126 – $126
13	AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient	1	$114	$114	—	—	—	$114 – $114
14	AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient	1	$203	$203	—	—	—	$203 – $203
15	ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient	2	$83	$83	$73	87%	—	$10 – $156
16	ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient	2	$83	$83	$73	89%	—	$9 – $156
17	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient	2	$91	$91	$65	71%	—	$27 – $156
18	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient	2	$83	$83	$73	88%	—	$10 – $156
19	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient	2	$83	$83	$73	88%	—	$10 – $156
20	ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient	2	$82	$82	$74	90%	—	$8 – $156
21	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	3	$64	$63	$1	2%	—	$61 – $64
22	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	3	$64	$63	$1	2%	—	$61 – $64
23	AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges	3	$35	$26	$14	54%	—	$6 – $37
24	ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges	4	$179	$167	$49	29%	—	$90 – $222
25	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	2	$16	$16	$5	29%	—	$12 – $21

Page 1 of 57

← Payers reporting HCPCS A9528 · Snapshot 20261111T120946Z-9134e7f7

HCPCS A9528