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 CAP PER 100 UCI UP TO 999 UCI
Rapids, MN
See all hospitals reporting HCPCS A9516 →Price type
Allina Health Systems’s median price of $70 is 61% below the median hospital's median price ($178), higher than 7% of the 1,910 hospitals reporting HCPCS A9516. 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 4 | UnitedHealthcare united healthcare (um) facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 7 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 8 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 9 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 10 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 11 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 12 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 13 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 15 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 16 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $552 | $552 | — | — | — | $552 – $552 |
| 17 | Bcbs Mn bc premier (m u) facility · other · outpatient | $586 | $586 | — | — | — | $586 – $586 |
| 18 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $689 | $689 | — | — | — | $689 – $689 |
| 19 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $740 | $740 | — | — | — | $740 – $740 |
Last updated: Jun 17, 2026
See Iodine-123 diagnostic dose, 100-999 microcuries pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.