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 CAPSULE PER 100 UCI
Kalamazoo, MI
See all hospitals reporting HCPCS A9516 →Price type
Bronson Methodist Hospital’s median price of $81 is 55% below the median hospital's median price ($178), higher than 10% 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: 4 payers, 14 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 | Blue Cross Blue Shield complete facility · percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Aetna american axle facility · percent of total billed charges · inpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Aetna american axle facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 5 | Aetna new business (mi preferred) facility · percent of total billed charges · inpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 6 | Aetna new business (mi preferred) facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 7 | Blue Cross Blue Shield trust/ppo facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 10 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 11 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 12 | UnitedHealthcare all payor (choice/ppo) facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 13 | UnitedHealthcare core facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 14 | UnitedHealthcare exchange facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
Last updated: Aug 3, 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.