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 NA IO I125/GLO-FIL/SDTO10UCI
York, PA
See all hospitals reporting HCPCS A9554 →Price type
UPMC Memorial’s median price of $487 is 20% below the median hospital's median price ($606), higher than 47% of the 978 hospitals reporting HCPCS A9554. 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, 13 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Highmark medicare facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Cigna commercial facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 5 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $357 | $357 | — | — | — | $357 – $357 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $415 | $415 | — | — | — | $415 – $415 |
| 7 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $422 | $422 | — | — | — | $422 – $422 |
| 8 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $491 | $491 | — | — | — | $491 – $491 |
| 9 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $523 | $523 | — | — | — | $523 – $523 |
| 10 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $523 | $523 | — | — | — | $523 – $523 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $532 | $532 | — | — | — | $532 – $532 |
| 12 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $734 | $734 | — | — | — | $734 – $734 |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $734 | $734 | — | — | — | $734 – $734 |
Last updated: Mar 6, 2026
See Iodine-125 sodium iothalamate test dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.