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 MIC
Jasper, TX
See all hospitals reporting HCPCS A9516 →Price type
Southeast Texas - Jasper Memorial’s median price of $834 is 370% above the median hospital's median price ($178), higher than 96% of the 1,896 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: 3 payers, 8 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 all payer fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Humana choicecare fee schedule · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $794 | $794 | — | — | — | $794 – $794 |
| 5 | Bcbs Tx heb fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $1000 | $1000 | — | — | — | $1000 – $1000 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Jan 13, 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.