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
I123 SOD DX 100-999 UCI
PULASKI, VA
See all hospitals reporting HCPCS A9516 →Price type
Lewisgale Hospital Pulaski’s median price of $2.0k is 994% above the median hospital's median price ($178), higher than 99% 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: 5 payers, 10 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 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 2 | Aetna mgmcr percent of total billed charges · outpatientfrom % of charges | $412 | $412 | — | — | — | $412 – $412 |
| 3 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $918 | $918 | — | — | — | $918 – $918 |
| 4 | Aetna sharedsavings percent of total billed charges · outpatientfrom % of charges | $989 | $989 | — | — | — | $989 – $989 |
| 5 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Aetna broad percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | MultiPlan phcs percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Phcs comm percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Mar 7, 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.