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 A9516 MED: IODINE I-123 SODIUM IODIDE, DX, PER 100 UCI, UP TO 999 UCI
Orange, TX
See all hospitals reporting HCPCS A9516 →Price type
CHRISTUS Hospital - Orange’s median price of $395 is 121% above the median hospital's median price ($178), higher than 87% 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: 11 payers, 25 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 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 2 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 5 | UnitedHealthcare all payer fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 6 | UnitedHealthcare hix fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 7 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 8 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $276 | $276 | — | — | — | $276 – $276 |
| 9 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 10 | Molina star km percent of total billed charges · outpatientfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 11 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 13 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $385 | $385 | — | — | — | $385 – $385 |
| 14 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $444 | $444 | — | — | — | $444 – $444 |
| 15 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $494 | $494 | — | — | — | $494 – $494 |
| 16 | Humana choicecare fee schedule · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $592 | $592 | — | — | — | $592 – $592 |
| 18 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $691 | $691 | — | — | — | $691 – $691 |
| 20 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $691 | $691 | — | — | — | $691 – $691 |
| 21 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $703 | $703 | — | — | — | $703 – $703 |
| 22 | Bcbs Tx heb fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 23 | Bcbs Tx hmo fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 24 | Bcbs Tx ppo fee schedule · outpatient | $971 | $971 | — | — | — | $971 – $971 |
| 25 | Bcbs Tx traditional fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Jan 13, 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.