Iodine-131 sodium iodide oral capsule therapy 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 131 THERAPY CAP PER MCI

Ulm, MN

See all hospitals reporting HCPCS A9517 →

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $31 is 33% below the median hospital's median price ($46), higher than 29% of the 1,818 hospitals reporting HCPCS A9517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9517 at Allina Health Systems

Negotiated rates from the hospital’s own file: 10 payers, 26 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	$8	$8	—	—	—	$8 – $8
2	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$13	$13	—	—	—	$13 – $13
3	Medicaid medicaid ma (n) facility · other · outpatient	$18	$18	—	—	—	$18 – $18
4	Medica medica medicare (r) facility · fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
5	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
6	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$19	$19	—	—	—	$19 – $19
7	UnitedHealthcare united healthcare (nr) facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
8	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
9	Medicare medicare (n) facility · fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
12	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
13	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
14	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
15	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
16	Cigna hpi cigna (n) facility · other · outpatient	$33	$33	—	—	—	$33 – $33
17	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
18	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
19	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
21	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
22	Bcbs Mn bc pmap (n) facility · other · outpatient	$63	$63	—	—	—	$63 – $63
23	Bcbs Mn bc state health plan (n) facility · other · outpatient	$169	$169	—	—	—	$169 – $169
24	Bcbs Mn bc premier(n) facility · other · outpatient	$217	$217	—	—	—	$217 – $217
25	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$255	$255	—	—	—	$255 – $255

Page 1 of 2 · 26 rates

Last updated: Jun 16, 2026

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