Iodine-123 diagnostic dose, 100-999 microcuries at St. David's Georgetown 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

I123 SOD DX 100-999 UCI

Georgetown, TX

See all hospitals reporting HCPCS A9516 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

St. David's Georgetown Hospital’s median price of $139 is 22% below the median hospital's median price ($178), higher than 36% 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 St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 9 payers, 36 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.

Filter by billing methodology

Filter by billing class

#
1	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$20	$20	$2	10%	—	$18 – $22
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$20	$20	$2	10%	—	$18 – $22
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$20	$20	$2	10%	—	$18 – $22
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$20	$20	$2	10%	—	$18 – $22
5	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$67	$67	$7	10%	—	$61 – $74
6	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$67	$67	$7	10%	—	$61 – $74
7	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$67	$67	$7	10%	—	$61 – $74
8	Oscar hix percent of total billed charges · outpatientfrom % of charges	$76	$76	$7	10%	—	$69 – $83
9	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$76	$76	$7	10%	—	$69 – $83
10	Oscar epo percent of total billed charges · outpatientfrom % of charges	$85	$85	$8	10%	—	$76 – $93
11	Oscar pos percent of total billed charges · outpatientfrom % of charges	$85	$85	$8	10%	—	$76 – $93
12	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$85	$85	$8	10%	—	$76 – $93
13	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$98	$98	$10	10%	—	$89 – $108
14	Humana hmo percent of total billed charges · outpatientfrom % of charges	$110	$110	$11	10%	—	$99 – $121
15	Humana ppo percent of total billed charges · outpatientfrom % of charges	$110	$110	$11	10%	—	$99 – $121
16	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$115	$115	$11	10%	—	$104 – $126
17	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$119	$119	$12	10%	—	$107 – $130
18	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
19	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$126	$126	$12	10%	—	$114 – $138
20	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$127	$127	$12	10%	—	$115 – $139
21	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$135	$135	$13	10%	—	$122 – $148
22	Cigna openaccess percent of total billed charges · outpatientfrom % of charges	$135	$135	$13	10%	—	$122 – $148
23	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$135	$135	$13	10%	—	$122 – $148
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$162	$162	$16	10%	—	$146 – $178
25	UnitedHealthcare allpayerappendix fee schedule · outpatient	$168	$168	—	—	—	$168 – $168

Page 1 of 2 · 36 rates

Last updated: Sep 1, 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.