Iodine-131 sodium iodide capsule, diagnostic at Samaritan Hospital

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

Original text from hospital filings

I-131 SOD IODIDE CAP DIAG PER MCI

Troy, NY

See all hospitals reporting HCPCS A9528 →

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $165 is 18% above the median hospital's median price ($140), higher than 63% 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 Samaritan Hospital

Negotiated rates from the hospital’s own file: 14 payers, 22 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	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$120	$120	—	—	—	$120 – $120
2	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$120	$120	—	—	—	$120 – $120
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
15	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$211	$211	—	—	—	$211 – $211
16	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$211	$211	—	—	—	$211 – $211
17	First Health first health facility · percent of total billed charges · bothfrom % of charges	$241	$241	—	—	—	$241 – $241
18	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$256	$256	—	—	—	$256 – $256
19	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$271	$271	—	—	—	$271 – $271
20	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$271	$271	—	—	—	$271 – $271
21	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$271	$271	—	—	—	$271 – $271
22	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$301	$301	—	—	—	$301 – $301

Last updated: Mar 31, 2026

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