Iodine-131 sodium iodide oral capsule therapy at UPMC Memorial

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

HC I131 CAP / MCI THERAPEUTIC

York, PA

See all hospitals reporting HCPCS A9517 →

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How this price compares nationally

UPMC Memorial’s median price of $137 is 197% above the median hospital's median price ($46), higher than 85% of the 1,811 hospitals reporting HCPCS A9517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9517 at UPMC Memorial

Negotiated rates from the hospital’s own file: 6 payers, 18 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	Aetna medicare facility · fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
2	Cigna medicare facility · fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
3	UnitedHealthcare medicare facility · fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
4	Blue Cross Blue Shield chip facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
5	Blue Cross Blue Shield commercial facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
6	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
7	Highmark medicare facility · fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
8	Highmark medicaid facility · fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
9	Cigna commercial facility · fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
10	Highmark commercial facility · fee schedule · outpatient	$82	$82	—	—	—	$82 – $82
11	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
12	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
13	Aetna aco facility · percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
14	UnitedHealthcare commercial facility · fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
15	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
16	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
17	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$261	$261	—	—	—	$261 – $261
18	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$261	$261	—	—	—	$261 – $261

Last updated: Mar 6, 2026

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