Iodine-123 diagnostic dose, 100-999 microcuries at Dukes Health System LLC

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

I123 CAP,DX /100UCI

Peru, IN

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Pricing by billing methodology

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How this price compares nationally

Dukes Health System LLC’s median price of $102 is 43% below the median hospital's median price ($178), higher than 16% of the 1,910 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9516 at Dukes Health System LLC

Negotiated rates from the hospital’s own file: 10 payers, 26 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	Tricare node tricare facility · fee schedule · outpatient	$42	$42	$1	2%	—	$41 – $42
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$44	$44	$1	2%	—	$43 – $45
3	Humana node humana mcr adv facility · fee schedule · outpatient	$44	$44	$1	2%	—	$43 – $45
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$44	$44	$1	2%	—	$43 – $45
5	Anthem anthem in hip facility · fee schedule · outpatient	$45	$45	$1	2%	—	$44 – $46
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$45	$45	$1	2%	—	$44 – $46
7	Optum node united optum va ccn facility · per diem · outpatient	$45	$45	$1	2%	—	$44 – $46
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$45	$45	$1	2%	—	$44 – $46
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$45	$45	$1	2%	—	$44 – $46
10	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$67	$67	$1	2%	—	$66 – $68
11	Anthem anthem in work comp facility · other · outpatient	$72	$72	$1	2%	—	$71 – $73
12	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$81	$81	$1	2%	—	$80 – $82
13	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$81	$81	$1	2%	—	$80 – $82
14	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$81	$81	$1	2%	—	$80 – $82
15	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$81	$81	$1	2%	—	$80 – $82
16	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$95	$95	$1	2%	—	$94 – $97
17	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$107	$107	$2	2%	—	$105 – $109
18	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$110	$110	$2	2%	—	$109 – $112
19	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	$2	2%	—	$109 – $112
20	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$180	$180	$3	2%	—	$177 – $182
21	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$180	$180	$3	2%	—	$177 – $182
22	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$182	$182	$3	2%	—	$179 – $185
23	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$182	$182	$3	2%	—	$179 – $185
24	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$182	$182	$3	2%	—	$179 – $185
25	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$182	$182	$3	2%	—	$179 – $185

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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