Iodine-123 diagnostic dose, 100-999 microcuries at Holy Name

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 PER UCI(200UCI)

Teaneck, NJ

See all hospitals reporting HCPCS A9516 →

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How this price compares nationally

Holy Name’s median price of $134 is 24% below the median hospital's median price ($177), higher than 32% of the 1,889 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9516 at Holy Name

Negotiated rates from the hospital’s own file: 8 payers, 18 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 hmo/pos facility · other · outpatient	$0	$0	—	—	—	$0 – $0
2	Aetna qualified health plans facility · other · outpatient	$0	$0	—	—	—	$0 – $0
3	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
4	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
5	Aetna medicare prime facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
6	Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
7	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
8	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
9	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
10	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
11	Optum all products facility · fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
12	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
13	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$208	$208	—	—	—	$208 – $208
14	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
15	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$288	$288	—	—	—	$288 – $288
16	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
17	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
18	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297

Last updated: Nov 10, 2025

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