Iodine-125 sodium iothalamate test dose at Westchester Medical Center

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

I 125 IOTHALAMATE PER DOSE GLO

Valhalla, NY

See all hospitals reporting HCPCS A9554 →

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Pricing by billing methodology

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How this price compares nationally

Westchester Medical Center’s median price of $926 is 53% above the median hospital's median price ($606), higher than 78% of the 980 hospitals reporting HCPCS A9554. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9554 at Westchester Medical Center

Negotiated rates from the hospital’s own file: 11 payers, 23 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 blue cross medicare facility · fee schedule · outpatient	$650	$650	—	—	—	$650 – $650
2	Medicare medicare facility · fee schedule · outpatient	$650	$650	—	—	—	$650 – $650
3	UnitedHealthcare uhc medicare facility · fee schedule · outpatient	$650	$650	—	—	—	$650 – $650
4	WellCare wellcare exchange (mcr) facility · fee schedule · outpatient	$650	$650	—	—	—	$650 – $650
5	Oscar oscar medicare facility · fee schedule · outpatient	$669	$669	—	—	—	$669 – $669
6	Molina affinity by molina mcr facility · fee schedule · outpatient	$682	$682	—	—	—	$682 – $682
7	Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges	$900	$900	—	—	—	$900 – $900
8	Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · outpatientfrom % of charges	$900	$900	—	—	—	$900 – $900
9	Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges	$900	$900	—	—	—	$900 – $900
10	Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges	$900	$900	—	—	—	$900 – $900
11	UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges	$926	$926	—	—	—	$926 – $926
12	UnitedHealthcare uhc compass facility · percent of total billed charges · outpatientfrom % of charges	$926	$926	—	—	—	$926 – $926
13	UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges	$926	$926	—	—	—	$926 – $926
14	UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges	$926	$926	—	—	—	$926 – $926
15	Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
16	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
17	Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
18	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
19	MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
20	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
21	Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
22	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
23	Tricare tricare facility · fee schedule · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k

Last updated: Jul 28, 2026

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