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
I123 SOD DX 100-999 UCI
Independence, MO
See all hospitals reporting HCPCS A9516 →Price type
Centerpoint Medical Center’s median price of $116 is 35% below the median hospital's median price ($178), higher than 24% 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, 27 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 missouricaremgmcd percent of total billed charges · outpatientfrom % of charges | $50 | $50 | $2 | 4% | — | $48 – $52 |
| 2 | Ambetter commercial-exchange percent of total billed charges · outpatientfrom % of charges | $72 | $72 | $3 | 4% | — | $68 – $75 |
| 3 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $73 | $73 | $3 | 4% | — | $70 – $76 |
| 4 | Humana aso percent of total billed charges · outpatientfrom % of charges | $81 | $81 | $3 | 4% | — | $78 – $85 |
| 5 | Humana epo percent of total billed charges · outpatientfrom % of charges | $81 | $81 | $3 | 4% | — | $78 – $85 |
| 6 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $81 | $81 | $3 | 4% | — | $78 – $85 |
| 7 | Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges | $85 | $85 | $4 | 4% | — | $81 – $88 |
| 8 | Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges | $85 | $85 | $4 | 4% | — | $81 – $88 |
| 9 | Cigna surefit/localplus percent of total billed charges · outpatientfrom % of charges | $95 | $95 | $4 | 4% | — | $91 – $99 |
| 10 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $97 | $97 | $4 | 4% | — | $92 – $101 |
| 11 | Humana pos percent of total billed charges · outpatientfrom % of charges | $102 | $102 | $4 | 4% | — | $98 – $106 |
| 12 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $102 | $102 | $4 | 4% | — | $98 – $106 |
| 13 | Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges | $111 | $111 | $5 | 4% | — | $107 – $116 |
| 14 | Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges | $111 | $111 | $5 | 4% | — | $107 – $116 |
| 15 | Cigna localkc percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $5 | 4% | — | $109 – $118 |
| 16 | Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges | $115 | $115 | $5 | 4% | — | $110 – $120 |
| 17 | Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges | $115 | $115 | $5 | 4% | — | $110 – $120 |
| 18 | Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges | $115 | $115 | $5 | 4% | — | $110 – $120 |
| 19 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $142 | $142 | $6 | 4% | — | $136 – $148 |
| 20 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $173 | $173 | $7 | 4% | — | $166 – $180 |
| 21 | Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges | $177 | $177 | $8 | 4% | — | $169 – $184 |
| 22 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $177 | $177 | $8 | 4% | — | $169 – $184 |
| 23 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 24 | MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges | $204 | $204 | $9 | 4% | — | $195 – $213 |
| 25 | MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges | $284 | $284 | $12 | 4% | — | $272 – $297 |
Last updated: Mar 1, 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.