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
NM DOSE I 123 DIAG PER MCI
Rapids, MN
See all hospitals reporting HCPCS A9509 →Price type
Allina Health Systems’s median price of $502 is 22% above the median hospital's median price ($411), higher than 56% of the 1,323 hospitals reporting HCPCS A9509. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 2 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 3 | Bcbs Mn bc premier (m u) facility · other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 4 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 5 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 6 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 7 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 8 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $343 | $343 | — | — | — | $343 – $343 |
| 9 | UnitedHealthcare united healthcare (um) facility · percent of total billed charges · outpatientfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 10 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $454 | $454 | — | — | — | $454 – $454 |
| 11 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $541 | $541 | — | — | — | $541 – $541 |
| 12 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $574 | $574 | — | — | — | $574 – $574 |
| 13 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $600 | $600 | — | — | — | $600 – $600 |
| 14 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $600 | $600 | — | — | — | $600 – $600 |
| 15 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $619 | $619 | — | — | — | $619 – $619 |
| 16 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $631 | $631 | — | — | — | $631 – $631 |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 19 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
Last updated: Jun 17, 2026
See Iodine-123 sodium iodide diagnostic dose, per millicurie pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.