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
Argyle, TX
See all hospitals reporting HCPCS A9516 →Price type
Medical City Argyle’s median price of $652 is 266% above the median hospital's median price ($178), higher than 94% 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: 9 payers, 37 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 6 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 7 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 8 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 9 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 10 | UnitedHealthcare smallgroup fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 11 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $230 | $230 | — | — | — | $230 – $230 |
| 12 | Aetna qhphix fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 13 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $271 | $271 | — | — | — | $271 – $271 |
| 14 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $320 | $320 | — | — | — | $320 – $320 |
| 15 | Aetna newbusiness fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
| 16 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 17 | Aetna comm fee schedule · outpatient | $346 | $346 | — | — | — | $346 – $346 |
| 18 | Aetna meritain fee schedule · outpatient | $346 | $346 | — | — | — | $346 – $346 |
| 19 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $441 | $441 | — | — | — | $441 – $441 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $579 | $579 | — | — | — | $579 – $579 |
| 21 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $621 | $621 | — | — | — | $621 – $621 |
| 22 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $621 | $621 | — | — | — | $621 – $621 |
| 23 | Cigna localplus fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 24 | Cigna newbusiness fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 25 | Aetna wcomp percent of total billed charges · outpatientfrom % of charges | $718 | $718 | — | — | — | $718 – $718 |
Last updated: Mar 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.