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 200UCI/CAP

Merced, 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 $86 is 52% below the median hospital's median price ($178), higher than 11% 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, 23 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 commercial\|exchange fee schedule · outpatient	$74	$74	$13	18%	2–20	$60 – $87
2	Kaiser medicaid\|< 21 fee schedule · outpatient	$87	$87	$3	3%	—	$84 – $89
3	Kaiser medicaid\|> 21 fee schedule · outpatient	$87	$87	$3	3%	—	$84 – $89
4	Molina medicaid\|< 21 fee schedule · outpatient	$87	$87	$3	3%	—	$84 – $89
5	Molina medicaid\|> 21 fee schedule · outpatient	$87	$87	$3	3%	—	$84 – $89
6	Anthem medicaid\|< 21 fee schedule · outpatient	$93	$93	$9	10%	—	$84 – $103
7	Anthem medicaid\|> 21 fee schedule · outpatient	$93	$93	$9	10%	—	$84 – $103
8	Anthem commercial\|all other plans fee schedule · outpatient	$97	$97	$18	18%	2–20	$79 – $115
9	Anthem commercial\|mcs fee schedule · outpatient	$133	$133	$49	37%	—	$84 – $181
10	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$134	$134	$50	37%	—	$84 – $184
11	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$134	$134	$50	37%	—	$84 – $184
12	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$134	$134	$50	37%	—	$84 – $184
13	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$135	$135	$51	38%	—	$84 – $187
14	Cigna commercial\|all other plans fee schedule · inpatient	$166	$166	$111	67%	—	$55 – $277
15	Cigna commercial\|all other plans fee schedule · outpatient	$166	$166	$111	67%	—	$55 – $277
16	Cigna commercial\|ppo fee schedule · inpatient	$166	$166	$111	67%	—	$55 – $277
17	Cigna commercial\|ppo fee schedule · outpatient	$166	$166	$111	67%	—	$55 – $277
18	Kaiser commercial\|all plans fee schedule · inpatient	$176	$176	$118	67%	—	$58 – $294
19	Kaiser commercial\|all plans fee schedule · outpatient	$176	$176	$118	67%	—	$58 – $294
20	First Health commercial\|all plans fee schedule · inpatient	$204	$204	$137	67%	—	$67 – $341
21	First Health commercial\|all plans fee schedule · outpatient	$204	$204	$137	67%	—	$67 – $341
22	MultiPlan commercial\|all plans fee schedule · inpatient	$240	$240	$161	67%	—	$79 – $400
23	MultiPlan commercial\|all plans fee schedule · outpatient	$240	$240	$161	67%	—	$79 – $400

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.