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
I-123 SODIUM IODIDE DX PER 100 UCI
Ulysses, KS
See all hospitals reporting HCPCS A9516 →Price type
Commonspirit Kansas, Inc.’s median price of $92 is 49% below the median hospital's median price ($178), higher than 12% 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: 6 payers, 13 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 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 4 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 7 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 9 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 10 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 11 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 12 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 13 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
Last updated: Feb 3, 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.