Iodine-123 diagnostic dose, 100-999 microcuries at Shannon River Crest 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC I-123 per 100 Uci Dose E

San Angelo, TX

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Pricing by billing methodology

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How this price compares nationally

Shannon River Crest Hospital’s median price of $126 is 29% below the median hospital's median price ($178), higher than 28% of the 1,896 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9516 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 6 payers, 15 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 ppo facility · percent of total billed charges · inpatientfrom % of charges	$122	$122	$63	51%	—	$59 – $185
2	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	$63	51%	2–20	$59 – $185
3	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$134	$134	$69	51%	—	$65 – $202
4	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$139	$139	$72	51%	—	$68 – $211
5	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$139	$139	$72	51%	—	$68 – $211
6	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$139	$139	$72	51%	—	$68 – $211
7	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$139	$139	$72	51%	—	$68 – $211
8	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	$72	51%	—	$68 – $211
9	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$145	$145	$74	51%	—	$70 – $219
10	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$145	$145	$74	51%	2–20	$70 – $219
11	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$148	$148	$76	51%	—	$72 – $225
12	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	$76	51%	—	$72 – $225
13	Bcbs Tx hmo facility · fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
14	Bcbs Tx bav facility · fee schedule · outpatient	$290	$290	—	—	—	$290 – $290
15	Bcbs Tx ppo facility · fee schedule · outpatient	$290	$290	—	—	—	$290 – $290

Last updated: Dec 8, 2025

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