Iodine-123 diagnostic dose, 100-999 microcuries at Glendale Adventist Medical Center

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

IODINE I-123 SODIUM IODIDE, DIAGNOSTIC, PER 100 MICROCURIES, UP TO 999 MICROCURIES

Glendale, CA

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How this price compares nationally

Glendale Adventist Medical Center’s median price of $356 is 100% above the median hospital's median price ($178), higher than 81% 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 Glendale Adventist Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 19 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	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
2	Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient	$151	$151	—	—	—	$151 – $151
3	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
4	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$238	$238	—	—	—	$238 – $238
5	UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges	$249	$249	—	—	—	$249 – $249
6	UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges	$262	$262	—	—	—	$262 – $262
7	UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges	$262	$262	—	—	—	$262 – $262
8	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
9	Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
10	Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
11	Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges	$308	$308	—	—	—	$308 – $308
12	Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges	$308	$308	—	—	—	$308 – $308
13	First Health first health- all plans percent of total billed charges · outpatientfrom % of charges	$376	$376	—	—	—	$376 – $376
14	Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
15	Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
16	Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges	$551	$551	—	—	—	$551 – $551
17	Medicaid medi-cal fee schedule · outpatient	$648	$648	—	—	—	$648 – $648
18	Molina molina mcal fee schedule · outpatient	$648	$648	—	—	—	$648 – $648
19	Blue Cross Blue Shield blue shield medi-cal fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k

Last updated: Jul 30, 2026

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