Iodine-131 sodium iodide oral capsule therapy 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-131 THERAPY 6-10MCI

Teaneck, NJ

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How this price compares nationally

Holy Name’s median price of $77 is 68% above the median hospital's median price ($46), higher than 70% of the 1,806 hospitals reporting HCPCS A9517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9517 at Holy Name

Negotiated rates from the hospital’s own file: 10 payers, 21 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 medicare prime facility · fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
3	Aetna golden medicare facility · fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
4	Clover clover facility · fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
5	UnitedHealthcare medicare facility · fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
6	WellCare medicare facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
7	Optum all products facility · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
8	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$73	$61	$25	42%	—	$8 – $73
9	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$77	$64	$27	42%	—	$8 – $77
10	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$88	$73	$31	42%	—	$9 – $88
11	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$115	$95	$40	42%	—	$12 – $115
12	Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges	$148	$122	$51	42%	—	$15 – $148
13	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$161	$133	$56	42%	—	$16 – $161
14	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$165	$137	$57	42%	—	$17 – $165
15	Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$230	$190	$80	42%	—	$24 – $230
16	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$298	$247	$104	42%	—	$31 – $298
17	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$390	$322	$136	42%	—	$40 – $390
18	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$413	$341	$144	42%	—	$42 – $413
19	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$426	$352	$148	42%	—	$44 – $426
20	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$426	$352	$148	42%	—	$44 – $426
21	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$426	$352	$148	42%	—	$44 – $426

Last updated: Nov 10, 2025

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