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
I123 CAP,DX /100UCI
Durant, OK
See all hospitals reporting HCPCS A9516 →Price type
Durant HMA LLC’s median price of $602 is 239% above the median hospital's median price ($177), higher than 92% of the 1,889 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 2 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | — | — | — | $234 – $234 |
| 3 | Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 4 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $251 | $251 | — | — | — | $251 – $251 |
| 5 | Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 6 | Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 7 | Phcs phcs savility facility · percent of total billed charges · inpatientfrom % of charges | $562 | $562 | — | — | — | $562 – $562 |
| 8 | Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges | $562 | $562 | — | — | — | $562 – $562 |
| 9 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $602 | $602 | — | — | — | $602 – $602 |
| 10 | First Health coventry facility · percent of total billed charges · outpatientfrom % of charges | $602 | $602 | — | — | — | $602 – $602 |
| 11 | First Health first health ccn facility · percent of total billed charges · outpatientfrom % of charges | $602 | $602 | — | — | — | $602 – $602 |
| 12 | First Health first health ccn facility · percent of total billed charges · inpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
| 13 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
| 15 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
| 16 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
| 17 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $683 | $683 | — | — | — | $683 – $683 |
Last updated: Apr 1, 2026
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.