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
S-I 123 NA I CAPSULE 100UCI
Arcadia, CA
See all hospitals reporting HCPCS A9516 →Price type
USC Arcadia Hospital’s median price of $167 is 7% below the median hospital's median price ($178), higher than 46% 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: 4 payers, 7 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 | Cigna cigna facility · other · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 2 | Cigna cigna ppo facility · other · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $140 | $140 | — | — | — | $140 – $140 |
| 4 | Blue Cross Blue Shield blue shield hmo facility · other · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 5 | Blue Cross Blue Shield blue shield ppo facility · other · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 6 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 7 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
Last updated: Jul 27, 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.