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
SODIUM IODIDE-123 3.7 MBQ (100 MICROCI) CAPSULE
Utica, NY
See all hospitals reporting HCPCS A9516 →Price type
MVHS, Inc.’s median price of $372 is 108% above the median hospital's median price ($178), higher than 83% 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: 7 payers, 10 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare uhc empire plan fee schedule · both | $217 | $217 | — | — | — | $217 – $217 |
| 2 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $310 | $310 | — | — | 1–10 | $310 – $310 |
| 3 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $354 | $354 | — | — | — | $354 – $354 |
| 4 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $354 | $354 | — | — | 18–27 | $354 – $354 |
| 5 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $354 | $354 | — | — | 24 | $354 – $354 |
| 6 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $354 | $354 | — | — | — | $354 – $354 |
| 7 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $390 | $390 | — | — | — | $390 – $390 |
| 8 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 9 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 10 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
Last updated: Aug 7, 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.