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
NM I-131 NAI CAP RX PER 1 MCI
Haven, FL
See all hospitals reporting HCPCS A9517 →Price type
Winter Haven Hospital’s median price of $82 is 78% above the median hospital's median price ($46), higher than 73% of the 1,818 hospitals reporting HCPCS A9517. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 43 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 | Humana commercial other facility · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Aetna medicare ppo facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 6 | Aetna medicare hmo facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Cigna medicare hmo facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 8 | Humana medicare hmo facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 9 | WellCare medicare hmo facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 10 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Ambetter commercial select core facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 12 | Ambetter commercial value facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 13 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 14 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 15 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 16 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 17 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 18 | Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $75 | $75 | — | — | — | $75 – $75 |
| 19 | UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 20 | Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 21 | Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 22 | Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 23 | Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 24 | UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 25 | UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
Last updated: Jan 1, 2026
See Iodine-131 sodium iodide oral capsule therapy pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.