Iodine-123 diagnostic dose, 100-999 microcuries 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 I-123 SODIUM IODIDE PER 100UCI

Summit, WI

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Pricing by billing methodology

Price type

How this price compares nationally

Aurora Medical Center Summit’s median price of $130 is 27% below the median hospital's median price ($178), higher than 30% of the 1,894 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9516 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	Aetna hmo fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
2	Anthem blue priority fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
3	UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
4	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
5	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
6	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
7	Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
8	Molina commercial percent of total billed charges · outpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
9	Anthem blue preferred fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
10	Cigna ppo-gppo fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
11	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
12	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
13	Healthpartners robin percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$177	$177	—	—	—	$177 – $177
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$177	$177	—	—	—	$177 – $177
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$179	$179	—	—	—	$179 – $179
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$179	$179	—	—	—	$179 – $179

Last updated: Nov 21, 2025

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