Iodine-123 diagnostic dose, 100-999 microcuries at Mercy Hospital Springfield

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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

NM Capsule 1 123 200 Uci

Ozark, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $303 is 70% above the median hospital's median price ($178), higher than 74% of the 1,910 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9516 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 10 payers, 17 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	Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
2	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
3	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
4	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
5	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$188	$188	—	—	—	$188 – $188
6	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$188	$188	—	—	—	$188 – $188
7	Optum hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	$55	26%	—	$156 – $267
8	UnitedHealthcare hb sprg uhc all payer facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	$55	26%	2–20	$156 – $267
9	UnitedHealthcare hb sprg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	$55	26%	—	$156 – $267
10	UnitedHealthcare hb sprg uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	$55	26%	—	$156 – $267
11	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	$62	26%	—	$177 – $301
12	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$246	$246	$64	26%	—	$182 – $311
13	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$339	$339	$88	26%	—	$250 – $427
14	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$411	$411	$107	26%	—	$304 – $519
15	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$441	$441	$115	26%	—	$326 – $557
16	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$462	$462	$121	26%	—	$342 – $583
17	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$466	$466	$122	26%	—	$344 – $588

Last updated: Jun 4, 2026

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