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 SODID-DX-100UCI
Longview, TX
See all hospitals reporting HCPCS A9516 →Price type
Longview Medical Center LP’s median price of $489 is 174% above the median hospital's median price ($178), higher than 90% 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, 20 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 node aetna mcr adv facility · other · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 2 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
| 3 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
| 4 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $334 | $334 | — | — | — | $334 – $334 |
| 5 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $382 | $382 | — | — | — | $382 – $382 |
| 6 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $382 | $382 | — | — | — | $382 – $382 |
| 7 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $452 | $452 | — | — | — | $452 – $452 |
| 8 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 9 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $475 | $475 | — | — | — | $475 – $475 |
| 10 | Blue Cross Blue Shield bcbs tx blue adv facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 11 | Blue Cross Blue Shield bcbs tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $501 | $501 | — | — | — | $501 – $501 |
| 12 | Blue Cross Blue Shield bcbs tx ppo trad facility · percent of total billed charges · outpatientfrom % of charges | $501 | $501 | — | — | — | $501 – $501 |
| 13 | Blue Cross Blue Shield bcbs tx blue choice options facility · percent of total billed charges · outpatientfrom % of charges | $513 | $513 | — | — | — | $513 – $513 |
| 14 | Cigna cigna all facility · other · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 15 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $775 | $775 | — | — | — | $775 – $775 |
| 16 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $811 | $811 | — | — | — | $811 – $811 |
| 17 | Aetna aetna auto facility · percent of total billed charges · inpatientfrom % of charges | $812 | $812 | — | — | — | $812 – $812 |
| 18 | Aetna aetna auto facility · percent of total billed charges · outpatientfrom % of charges | $812 | $812 | — | — | — | $812 – $812 |
| 19 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Apr 1, 2026
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