Iodine-123 diagnostic dose, 100-999 microcuries at Carle Eureka 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

I-123 Sodium Iodide Cap 100uci

Eureka, IL

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Pricing by billing methodology

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How this price compares nationally

Carle Eureka Hospital’s median price of $118 is 34% below the median hospital's median price ($178), higher than 24% of the 1,896 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9516 at Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
4	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$92	$92	—	—	—	$92 – $92
5	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
6	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$95	$95	—	—	—	$95 – $95
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
8	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
9	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
10	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
11	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
12	UnitedHealthcare va ccn/optum fee schedule · inpatient	$146	$146	—	—	—	$146 – $146
13	UnitedHealthcare va ccn/optum fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
15	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
16	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
17	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$164	$164	—	—	—	$164 – $164
19	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
20	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206

Last updated: Apr 15, 2026

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