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
HC I 123/100 UCI
Boulder, CO
See all hospitals reporting HCPCS A9516 →Price type
Boulder Community Health’s median price of $470 is 164% above the median hospital's median price ($178), higher than 89% of the 1,910 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: 8 payers, 23 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 commercial professional · fee schedule · both | $91 | $91 | — | — | — | $91 – $91 |
| 2 | Anthem managed care professional · fee schedule · both | $91 | $91 | — | — | — | $91 – $91 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 4 | UnitedHealthcare commercial professional · fee schedule · both | $106 | $106 | — | — | — | $106 – $106 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Cigna commercial facility · fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 7 | Cigna commercial professional · fee schedule · both | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Humana medicare advantage professional · fee schedule · both | $127 | $127 | — | — | — | $127 – $127 |
| 9 | Aetna commercial professional · fee schedule · both | $147 | $147 | $45 | 31% | — | $102 – $192 |
| 10 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $231 | $256 | $80 | 31% | — | $166 – $456 |
| 11 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $276 | $276 | $18 | 7% | — | $258 – $294 |
| 12 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $288 | $288 | $19 | 7% | — | $269 – $307 |
| 13 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $288 | $288 | $19 | 7% | — | $269 – $307 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $205 | $313 | $188 | 60% | — | $148 – $613 |
| 15 | UnitedHealthcare commercial facility · other · outpatient | $360 | $360 | — | — | 2–20 | $360 – $360 |
| 16 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $414 | $414 | $27 | 7% | — | $387 – $442 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $465 | $465 | $31 | 7% | — | $435 – $496 |
| 18 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $497 | $497 | $33 | 7% | — | $464 – $530 |
| 19 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $497 | $497 | $33 | 7% | — | $464 – $530 |
| 20 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $503 | $503 | $33 | 7% | — | $470 – $536 |
| 21 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $503 | $503 | $33 | 7% | — | $470 – $536 |
| 22 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $575 | $575 | $38 | 7% | — | $538 – $613 |
| 23 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $626 | $626 | $41 | 7% | — | $585 – $667 |
Last updated: Sep 16, 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.