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 NA IOD DX PER MCI
Phoenix, AZ
See all hospitals reporting HCPCS A9509 →Price type
Dignity Health’s median price of $621 is 51% above the median hospital's median price ($411), higher than 62% of the 1,323 hospitals reporting HCPCS A9509. 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, 12 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 commercial|all plans fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 2 | Cigna commercial|exchange fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Cigna commercial|localplus surefit fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 4 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 5 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 6 | Cigna commercial|all other plans fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 7 | Optum commercial|optumhealth fee schedule · outpatient | $508 | $508 | — | — | — | $508 – $508 |
| 8 | Cigna commercial|lifesource fee schedule · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 9 | First Health commercial|all plans fee schedule · inpatient | $756 | $756 | — | — | — | $756 – $756 |
| 10 | First Health commercial|all plans fee schedule · outpatient | $756 | $756 | — | — | — | $756 – $756 |
| 11 | MultiPlan commercial|all plans fee schedule · inpatient | $853 | $853 | — | — | — | $853 – $853 |
| 12 | MultiPlan commercial|all plans fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
Last updated: Feb 28, 2026
See Iodine-123 sodium iodide diagnostic dose, per millicurie pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.