Iodine-123 sodium iodide diagnostic dose, per millicurie at Hmh Hospitals Corporation

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 123 SODIUM IODIDE/NAI CAPS

Hackensack, NJ

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Pricing by billing methodology

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How this price compares nationally

Hmh Hospitals Corporation’s median price of $105 is 74% below the median hospital's median price ($411), higher than 11% of the 1,323 hospitals reporting HCPCS A9509. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9509 at Hmh Hospitals Corporation

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	Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$25	$25	$3	12%	—	$22 – $29
2	Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$4	12%	—	$27 – $35
3	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$42	$42	$5	12%	—	$37 – $47
4	Cigna hmo facility · percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
5	Cigna ppo facility · percent of total billed charges · bothfrom % of charges	$54	$54	—	—	—	$54 – $54
6	Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$54	$54	$23	43%	—	$31 – $78
7	WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
8	WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
9	UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	$10	12%	—	$70 – $90
10	MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
11	Cigna bh facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	$14	12%	—	$99 – $127
12	Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
13	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
14	Aetna asa facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	$15	12%	—	$110 – $141
15	Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	$15	12%	—	$110 – $141
16	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	$15	12%	—	$110 – $141
17	MultiPlan all products facility · percent of total billed charges · bothfrom % of charges	$135	$135	—	—	—	$135 – $135

Last updated: Dec 31, 2025

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