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
Sup I-123 Capsule per 100 Uci
Wadena, MN
See all hospitals reporting HCPCS A9516 →Price type
Astera Health’s median price of $327 is 84% above the median hospital's median price ($178), higher than 79% of the 1,894 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: 7 payers, 34 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 [300063] percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 2 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 3 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 4 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 5 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 6 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $184 | $184 | — | — | — | $184 – $184 |
| 7 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $184 | $184 | — | — | — | $184 – $184 |
| 8 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
| 9 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 10 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 11 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $320 | $320 | — | — | — | $320 – $320 |
| 12 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $320 | $320 | — | — | — | $320 – $320 |
| 13 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 14 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 15 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 16 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 17 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $333 | $333 | — | — | — | $333 – $333 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $335 | $335 | — | — | — | $335 – $335 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $366 | $366 | — | — | — | $366 – $366 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $366 | $366 | — | — | — | $366 – $366 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $388 | $388 | — | — | — | $388 – $388 |
Last updated: Feb 20, 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.