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 IODINE I-123 PER 100 MICRO
Coudersport, PA
See all hospitals reporting HCPCS A9516 →Price type
UPMC Cole’s median price of $107 is 40% below the median hospital's median price ($178), higher than 18% of the 1,910 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, 20 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 | Highmark community blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 3 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 4 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 5 | Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 7 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 8 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 10 | Highmark commercial - indemnity facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 11 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 12 | Highmark managed care facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 13 | Highmark managed care - social mission facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 14 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 15 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 16 | MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 17 | MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 18 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 19 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
Last updated: Mar 6, 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.