Iodine-123 diagnostic dose, 100-999 microcuries at Mercy Perry

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

Perryville, MO

See all hospitals reporting HCPCS A9516 →

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How this price compares nationally

Mercy Perry’s median price of $188 is 5% above the median hospital's median price ($178), higher than 53% 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 Perry

Negotiated rates from the hospital’s own file: 16 payers, 26 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 wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	1–10	$87 – $87
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	1–10	$91 – $91
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
11	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
12	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
13	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
17	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
18	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
19	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
20	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
21	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
22	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$201	$201	—	—	—	$201 – $201
23	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$201	$201	—	—	—	$201 – $201
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$214	$214	—	—	—	$214 – $214
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	—	—	—	$221 – $221

Page 1 of 2 · 26 rates

Last updated: Mar 12, 2026

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