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
HC I123 CAP / 100UCI
Hanover, PA
See all hospitals reporting HCPCS A9516 →Price type
UPMC Hanover’s median price of $158 is 11% below the median hospital's median price ($178), higher than 43% 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: 6 payers, 12 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 3 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
| 4 | Cigna commercial facility · fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 6 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 7 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 9 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 10 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
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.