Iodine-123 sodium iodide diagnostic dose, per millicurie at BSA Hospital

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

NM ISO I-123 SODIUM IODIDE DX (CAPSULE) PER 200UCI

Amarillo, TX

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Pricing by billing methodology

Price type

How this price compares nationally

BSA Hospital’s median price of $433 is 5% above the median hospital's median price ($411), higher than 52% of the 1,323 hospitals reporting HCPCS A9509. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9509 at BSA Hospital

Negotiated rates from the hospital’s own file: 9 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	Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$64	$64	—	—	—	$64 – $64
2	Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges	$64	$64	—	—	—	$64 – $64
3	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$267	$267	—	—	—	$267 – $267
4	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$267	$267	—	—	—	$267 – $267
5	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$267	$267	—	—	—	$267 – $267
6	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$267	$267	—	—	—	$267 – $267
7	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$267	$267	—	—	—	$267 – $267
8	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$267	$267	—	—	—	$267 – $267
9	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$267	$267	—	—	—	$267 – $267
10	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$293	$293	—	—	—	$293 – $293
11	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$420	$420	—	—	—	$420 – $420
12	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$420	$420	—	—	—	$420 – $420
13	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$445	$445	—	—	—	$445 – $445
14	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$480	$480	—	—	—	$480 – $480
15	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$480	$480	—	—	—	$480 – $480
16	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$480	$480	—	—	—	$480 – $480
17	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$498	$498	—	—	—	$498 – $498
18	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$514	$514	—	—	—	$514 – $514
19	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$514	$514	—	—	—	$514 – $514
20	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$582	$582	—	—	—	$582 – $582
21	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$582	$582	—	—	—	$582 – $582

Last updated: Feb 12, 2026

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See Iodine-123 sodium iodide diagnostic dose, per millicurie pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.