Iodine-123 diagnostic dose, 100-999 microcuries at Sebasticook Valley Health

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

Iodine i-123 sod iodide mic

Pittsfield, ME

See all hospitals reporting HCPCS A9516 →

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Pricing by billing methodology

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How this price compares nationally

Sebasticook Valley Health’s median price of $120 is 32% below the median hospital's median price ($178), higher than 26% 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 Sebasticook Valley Health

Negotiated rates from the hospital’s own file: 5 payers, 23 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	Aetna mcr advantage professional · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
2	Anthem mcr advantage professional · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
3	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
4	WellCare mcr advantage professional · fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
5	Cigna commercial professional · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
6	Anthem commercial professional · fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
7	Anthem enhanced pathways professional · fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
8	Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
9	Anthem mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
10	UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
11	WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
12	Aetna commercial professional · fee schedule · outpatient	$131	$131	$34	26%	—	$98 – $165
13	UnitedHealthcare commercial professional · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
14	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
15	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
16	Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
17	Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
18	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$214	$214	—	—	—	$214 – $214
19	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$230	$230	—	—	—	$230 – $230
20	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
21	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
22	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$238	$238	—	—	—	$238 – $238
23	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	—	—	—	$239 – $239

Last updated: Mar 30, 2026

Compare to other hospitals

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.