Iodine-123 diagnostic dose, 100-999 microcuries at UPMC Kane

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

I 123 CAPSULE

Kane, PA

See all hospitals reporting HCPCS A9516 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Kane’s median price of $134 is 24% below the median hospital's median price ($178), higher than 32% of the 1,894 hospitals reporting HCPCS A9516. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9516 at UPMC Kane

Negotiated rates from the hospital’s own file: 6 payers, 19 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/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
2	Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
3	Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
4	Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
5	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
6	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
7	UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
8	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
9	Highmark commercial - indemnity facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
10	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
11	Highmark managed care facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
12	Highmark managed care - social mission facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
13	UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
14	UnitedHealthcare commercial facility · fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
15	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
16	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
17	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
18	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
19	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$6.1k	$6.1k	—	—	—	$6.1k – $6.1k

Last updated: Mar 6, 2026

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