Iodine-123 sodium iodide diagnostic dose, per millicurie at Aurora Medical Center Summit

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

RRX I123 SODIUM IODIDE PER MCI

Summit, WI

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Pricing by billing methodology

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How this price compares nationally

Aurora Medical Center Summit’s median price of $369 is 10% below the median hospital's median price ($412), higher than 46% of the 1,320 hospitals reporting HCPCS A9509. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9509 at Aurora Medical Center Summit

Negotiated rates from the hospital’s own file: 6 payers, 21 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	Anthem blue preferred fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Anthem blue priority fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Cigna ppo-gppo fee schedule · outpatient	$229	$229	—	—	—	$229 – $229
4	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$328	$328	—	—	—	$328 – $328
5	UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges	$365	$365	—	—	—	$365 – $365
6	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$365	$365	—	—	—	$365 – $365
7	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$365	$365	—	—	—	$365 – $365
8	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$365	$365	—	—	—	$365 – $365
9	Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges	$369	$369	—	—	—	$369 – $369
10	Molina commercial percent of total billed charges · outpatientfrom % of charges	$369	$369	—	—	—	$369 – $369
11	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$461	$461	—	—	—	$461 – $461
12	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$461	$461	—	—	—	$461 – $461
13	Healthpartners robin percent of total billed charges · outpatientfrom % of charges	$461	$461	—	—	—	$461 – $461
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$508	$508	—	—	—	$508 – $508
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$508	$508	—	—	—	$508 – $508
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$518	$518	—	—	—	$518 – $518
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$518	$518	—	—	—	$518 – $518
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$520	$520	—	—	—	$520 – $520
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$520	$520	—	—	—	$520 – $520
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$523	$523	—	—	—	$523 – $523
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$523	$523	—	—	—	$523 – $523

Last updated: Nov 21, 2025

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