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
Nm I-123 Sod Iodide
Springfield, VT
See all hospitals reporting HCPCS A9516 →Price type
Springfield Hospital’s median price of $499 is 181% above the median hospital's median price ($178), higher than 90% of the 1,894 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: 7 payers, 11 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 anthem exchange fee schedule · outpatient | $238 | $238 | — | — | — | $238 – $238 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $238 | $238 | — | — | — | $238 – $238 |
| 3 | UnitedHealthcare medicare advantage fee schedule · outpatient | $238 | $238 | — | — | — | $238 – $238 |
| 4 | WellCare medicare advantage fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 5 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $439 | $439 | — | — | — | $439 – $439 |
| 7 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 8 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $563 | $563 | — | — | — | $563 – $563 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $594 | $594 | — | — | — | $594 – $594 |
| 10 | Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges | $625 | $625 | — | — | — | $625 – $625 |
| 11 | Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
Last updated: Aug 27, 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.