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
Iodine i-123 sod iodide mil
Summit, NJ
See all hospitals reporting HCPCS A9509 →Price type
Overlook Medical Center’s median price of $1.7k is 314% above the median hospital's median price ($411), higher than 84% of the 1,323 hospitals reporting HCPCS A9509. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 38 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 | Anthem omc medicaid percent of total billed charges · bothfrom % of charges | $410 | $410 | $82 | 20% | — | $328 – $491 |
| 2 | Medicaid omc medicaid percent of total billed charges · bothfrom % of charges | $410 | $410 | $82 | 20% | — | $328 – $491 |
| 3 | Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges | $491 | $491 | $98 | 20% | — | $393 – $590 |
| 4 | Humana omc qualcare percent of total billed charges · bothfrom % of charges | $831 | $831 | $166 | 20% | — | $665 – $997 |
| 5 | Oscar omc qualcare percent of total billed charges · bothfrom % of charges | $831 | $831 | $166 | 20% | — | $665 – $997 |
| 6 | UnitedHealthcare oxford tertiary percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | $211 | 20% | — | $848 – $1.3k |
| 7 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | $261 | 20% | — | $1.0k – $1.6k |
| 8 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | $261 | 20% | — | $1.0k – $1.6k |
| 9 | Blue Cross Blue Shield omc horizon omnia percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | $302 | 20% | — | $1.2k – $1.8k |
| 10 | Anthem omc empire bcbsny hmo ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | First Health first health percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | $308 | 20% | — | $1.2k – $1.9k |
| 12 | Blue Cross Blue Shield omc horizon commercial percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | $328 | 20% | — | $1.3k – $2.0k |
| 13 | MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | $332 | 20% | — | $1.3k – $2.0k |
| 14 | Anthem omc empire bcbsny hmo ppo percent of total billed charges · bothfrom % of charges | $1.9k | $1.9k | $379 | 20% | — | $1.5k – $2.3k |
| 15 | Anthem omc empire bcbsny indemn percent of total billed charges · bothfrom % of charges | $2.0k | $2.0k | $403 | 20% | — | $1.6k – $2.4k |
| 16 | Aetna omc aetna ahs employee other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | Aetna omc aetna medicare fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 18 | Aetna omc aetna nnj prime other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 19 | Ambetter omc ambetter wellcare of nj other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | Anthem omc horizon braven other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | Blue Cross Blue Shield omc horizon braven other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 22 | Cigna omc cigna medicare fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Highmark omc highmark wholecare / gateway health plan inc other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | Highmark omc horizon braven other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | Tricare omc tricare contract other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Apr 1, 2026
See Iodine-123 sodium iodide diagnostic dose, per millicurie pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.