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
HC IODINE I-123 SODIUM IODIDE, DX, PER 100 UCI, UP TO 999 UCI
ST, LA
See all hospitals reporting HCPCS A9516 →Price type
Kaplan General Hospital, Inc’s median price of $258 is 45% above the median hospital's median price ($178), higher than 68% of the 1,910 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: 10 payers, 11 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 | Bcbs La all payor fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 2 | Bcbs La all payor other · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 3 | Optum all payor other · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 4 | WellCare all payor other · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 5 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $300 | $300 | — | — | — | $300 – $300 |
| 6 | Aetna all payor other · outpatient | $309 | $309 | $51 | 17% | — | $258 – $360 |
| 7 | Humana all payor other · outpatient | $352 | $352 | $94 | 27% | — | $258 – $446 |
| 8 | UnitedHealthcare all payor other · outpatient | $352 | $352 | $94 | 27% | — | $258 – $446 |
| 9 | Cigna all payor other · outpatient | $401 | $401 | — | — | — | $401 – $401 |
| 10 | Aetna Better Health all payor other · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 11 | Amerihealth Caritas all payor other · outpatient | $446 | $446 | — | — | — | $446 – $446 |
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.