Iodine-131 sodium iodide capsule, diagnostic at Medical City Plano

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
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

I131 SOD IOD CAP DX MCI

Plano, TX

See all hospitals reporting HCPCS A9528 →

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Pricing by billing methodology

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How this price compares nationally

Medical City Plano’s median price of $363 is 158% above the median hospital's median price ($140), higher than 88% of the 1,482 hospitals reporting HCPCS A9528. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9528 at Medical City Plano

Negotiated rates from the hospital’s own file: 9 payers, 39 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	$85	$85	—	—	—	$85 – $85
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
6	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
7	UnitedHealthcare allpayerappendix fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
8	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
9	UnitedHealthcare smallgroup fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
10	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
11	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
12	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
13	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$169	$169	—	—	—	$169 – $169
14	Aetna qhphix fee schedule · outpatient	$199	$199	—	—	—	$199 – $199
15	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$211	$211	—	—	—	$211 – $211
16	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
17	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
18	Blue Cross Blue Shield eposoa fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
19	Oscar hix percent of total billed charges · outpatientfrom % of charges	$252	$252	—	—	—	$252 – $252
20	Blue Cross Blue Shield ppo fee schedule · outpatient	$260	$260	—	—	—	$260 – $260
21	Aetna newbusiness fee schedule · outpatient	$273	$273	—	—	—	$273 – $273
22	Aetna comm fee schedule · outpatient	$292	$292	—	—	—	$292 – $292
23	Aetna meritain fee schedule · outpatient	$292	$292	—	—	—	$292 – $292
24	Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
25	Humana comm fee schedule · outpatient	$335	$335	—	—	—	$335 – $335

Page 1 of 2 · 39 rates

Last updated: Mar 1, 2026

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