Iodine-123 sodium iodide diagnostic dose, per millicurie at Allina Health Systems

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

NM DOSE I 123 DIAG PER MCI

River Falls, WI

See all hospitals reporting HCPCS A9509 →

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $384 is 6% below the median hospital's median price ($411), higher than 49% of the 1,323 hospitals reporting HCPCS A9509. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9509 at Allina Health Systems

Negotiated rates from the hospital’s own file: 7 payers, 18 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 (r) facility · fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
2	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
3	Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
4	Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges	$208	$208	—	—	—	$208 – $208
5	Bcbs Mn bc premier (r) facility · fee schedule · outpatient	$246	$246	—	—	—	$246 – $246
6	Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient	$289	$289	—	—	—	$289 – $289
7	Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
8	Medica medica medicare (r) facility · fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
9	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$348	$348	—	—	—	$348 – $348
10	UnitedHealthcare united healthcare (nr) facility · percent of total billed charges · outpatientfrom % of charges	$387	$387	—	—	—	$387 – $387
11	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$474	$474	—	—	—	$474 – $474
12	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$479	$479	—	—	—	$479 – $479
13	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$512	$512	—	—	—	$512 – $512
14	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$517	$517	—	—	—	$517 – $517
15	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$650	$650	—	—	—	$650 – $650
16	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$650	$650	—	—	—	$650 – $650
17	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$654	$654	—	—	—	$654 – $654
18	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$661	$661	—	—	—	$661 – $661

Last updated: Jun 15, 2026

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