Iodine-123 diagnostic dose, 100-999 microcuries at St. Joseph Health System, LLC

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 CAP,DX /100UCI

Wayne, IN

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Pricing by billing methodology

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How this price compares nationally

St. Joseph Health System, LLC’s median price of $289 is 62% above the median hospital's median price ($178), higher than 72% 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 St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 6 payers, 21 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	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$152	$150	$19	12%	—	$126 – $171
2	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$152	$150	$19	12%	—	$126 – $171
3	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$171	$168	$21	12%	—	$142 – $192
4	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$171	$168	$21	12%	—	$142 – $192
5	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$217	$213	$26	12%	—	$179 – $244
6	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$217	$213	$26	12%	—	$179 – $244
7	Anthem anthem in ppo facility · fee schedule · outpatient	$243	$243	—	—	—	$243 – $243
8	Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges	$321	$316	$39	12%	—	$265 – $360
9	Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges	$321	$316	$39	12%	—	$265 – $360
10	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$326	$320	$40	12%	—	$269 – $366
11	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$326	$320	$40	12%	—	$269 – $366
12	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$354	$348	$43	12%	—	$293 – $398
13	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$354	$348	$43	12%	—	$293 – $398
14	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$368	$362	$45	12%	—	$304 – $413
15	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$368	$362	$45	12%	—	$304 – $413
16	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$378	$371	$46	12%	—	$312 – $424
17	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$378	$371	$46	12%	—	$312 – $424
18	Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges	$472	$464	$57	12%	—	$390 – $530
19	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$472	$464	$57	12%	—	$390 – $530
20	Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges	$472	$464	$57	12%	—	$390 – $530
21	Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges	$472	$464	$57	12%	—	$390 – $530

Last updated: Apr 1, 2026

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