Iodine-131 sodium iodide capsule, diagnostic 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 DIAG CAP PER MCI

Ulm, MN

See all hospitals reporting HCPCS A9528 →

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $31 is 78% below the median hospital's median price ($140), higher than 5% of the 1,482 hospitals reporting HCPCS A9528. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9528 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 24 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	$17	$17	—	—	—	$17 – $17
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	$18	$18	—	—	—	$18 – $18
7	UnitedHealthcare united healthcare (nr) facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
8	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
9	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
10	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
11	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
12	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
13	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
14	Cigna hpi cigna (n) facility · other · outpatient	$32	$32	—	—	—	$32 – $32
15	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
16	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
17	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
18	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
20	Bcbs Mn bc pmap (n) facility · other · outpatient	$289	$289	—	—	—	$289 – $289
21	Bcbs Mn bc state health plan (n) facility · other · outpatient	$779	$779	—	—	—	$779 – $779
22	Bcbs Mn bc premier(n) facility · other · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
23	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Last updated: Jun 16, 2026

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