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

Mt Shasta, CA

See all hospitals reporting HCPCS A9516 →

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Pricing by billing methodology

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How this price compares nationally

Dignity Health’s median price of $267 is 50% above the median hospital's median price ($178), higher than 70% of the 1,896 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: 8 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	Aetna medicare\|all plans fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
2	Anthem medicare\|all plans fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
3	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
4	Humana medicare\|all plans fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
5	Kaiser medicare\|all plans fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
6	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
7	Anthem medicaid\|all plans fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
8	Anthem commercial\|exchange fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
9	Anthem commercial\|all other plans fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
10	Cigna commercial\|all other plans fee schedule · inpatient	$267	$267	—	—	—	$267 – $267
11	Cigna commercial\|all other plans fee schedule · outpatient	$267	$267	—	—	—	$267 – $267
12	Cigna commercial\|ppo fee schedule · inpatient	$267	$267	—	—	—	$267 – $267
13	Cigna commercial\|ppo fee schedule · outpatient	$267	$267	—	—	—	$267 – $267
14	UnitedHealthcare commercial\|hmo fee schedule · inpatient	$280	$280	—	—	—	$280 – $280
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
16	Aetna commercial\|all other plans fee schedule · outpatient	$283	$283	—	—	—	$283 – $283
17	Aetna commercial\|hmo fee schedule · outpatient	$283	$283	—	—	—	$283 – $283
18	Aetna commercial\|ppo fee schedule · outpatient	$283	$283	—	—	—	$283 – $283
19	Aetna commercial\|all other plans fee schedule · inpatient	$286	$286	—	—	—	$286 – $286
20	Aetna commercial\|hmo fee schedule · inpatient	$286	$286	—	—	—	$286 – $286
21	Aetna commercial\|ppo fee schedule · inpatient	$286	$286	—	—	—	$286 – $286
22	UnitedHealthcare commercial\|all other plans fee schedule · inpatient	$286	$286	—	—	—	$286 – $286
23	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$286	$286	—	—	—	$286 – $286
24	MultiPlan commercial\|all plans fee schedule · inpatient	$319	$319	—	—	—	$319 – $319
25	MultiPlan commercial\|all plans fee schedule · outpatient	$319	$319	—	—	—	$319 – $319

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.