Iodine-123 diagnostic dose, 100-999 microcuries at Dignity Health

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 NA IO DX 100UCI/CAP

Carmichael, CA

See all hospitals reporting HCPCS A9516 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $108 is 39% below the median hospital's median price ($178), higher than 19% of the 1,894 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9516 at Dignity Health

Negotiated rates from the hospital’s own file: 7 payers, 19 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	Kaiser medicaid\|all plans fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
2	Kaiser commercial\|all plans fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
3	UnitedHealthcare medicaid\|< 21 fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
4	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
5	Anthem commercial\|connection epo fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
6	First Health commercial\|all plans fee schedule · inpatient	$101	$101	—	—	—	$101 – $101
7	First Health commercial\|all plans fee schedule · outpatient	$101	$101	—	—	—	$101 – $101
8	MultiPlan commercial\|all plans fee schedule · inpatient	$112	$112	—	—	—	$112 – $112
9	MultiPlan commercial\|all plans fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
10	Anthem commercial\|all other plans fee schedule · outpatient	$122	$122	—	—	1–10	$122 – $122
11	Anthem commercial\|mcs fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
12	Anthem medicaid\|all plans fee schedule · outpatient	$135	$135	—	—	1–10	$135 – $135
13	Molina medicaid\|all plans fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$135	$135	—	—	1–10	$135 – $135
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
16	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
17	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
18	Cigna commercial\|localplus fee schedule · outpatient	$252	$252	—	—	—	$252 – $252
19	Cigna commercial\|all other plans fee schedule · outpatient	$336	$336	—	—	—	$336 – $336

Last updated: Feb 28, 2026

Compare to other hospitals

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.