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
RRX I-125 IOTHALAMATE UP TO 10 UCI
Summit, WI
See all hospitals reporting HCPCS A9554 →Price type
Aurora Medical Center Summit’s median price of $996 is 64% above the median hospital's median price ($606), higher than 80% of the 977 hospitals reporting HCPCS A9554. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Anthem blue priority fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Anthem blue preferred fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Cigna ppo-gppo fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 5 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $986 | $986 | — | — | — | $986 – $986 |
| 6 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $986 | $986 | — | — | — | $986 – $986 |
| 7 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $986 | $986 | — | — | — | $986 – $986 |
| 8 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $986 | $986 | — | — | — | $986 – $986 |
| 9 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $996 | $996 | — | — | — | $996 – $996 |
| 10 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $996 | $996 | — | — | — | $996 – $996 |
| 11 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Healthpartners robin percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Nov 21, 2025
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