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
NM ISO I-123 SODIUM IODIDE DX (CAPSULE) PER 100UCI
Amarillo, TX
See all hospitals reporting HCPCS A9516 →Price type
BSA Hospital’s median price of $297 is 66% above the median hospital's median price ($178), higher than 73% 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: 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 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 11 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $288 | $288 | — | — | — | $288 – $288 |
| 12 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $288 | $288 | — | — | — | $288 – $288 |
| 13 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $306 | $306 | — | — | — | $306 – $306 |
| 14 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 15 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 16 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 17 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $342 | $342 | — | — | — | $342 – $342 |
| 18 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 19 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 20 | Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
| 21 | MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
Last updated: Feb 12, 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.