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Every billing code / Imaging / Nuclear

HCPCS A9516

Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries

Current code28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$43.80 – $58.652 plans$24.00 – $27.60$60.00 – $69.00
Cascade Valley HospitalArlington$24.01 – $2,7688 plans$226$282
Deaconess Medical CenterSpokaneFile dated 2026-08-27$190 – $3745 plans$205$512
EvergreenHealth Medical CenterKirkland$182 – $1,33011 plans$1,144$1,430
Highline Medical CenterBurienFile dated 2026-02-28$83.85 – $7024 plans$59.55 – $238$195 – $780
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$335 – $4242 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$331 – $4186 plans$205$513
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3742 plans$205$513
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3742 plans$205$513
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3742 plans$205$513
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$190 – $3695 plans$205$512
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$182 – $1943 plans$48.16 – $50.92$96.32 – $102
PeaceHealth Peace Island Medical CenterFriday Harbor—$121 – $138$186 – $212
PeaceHealth Southwest Medical CenteVancouver—$121 – $138$186 – $212
PeaceHealth St John Medical CenterLongview—$121 – $138$186 – $212
PeaceHealth St Joseph Medical CenterBellingham—$121 – $276$186 – $425
PeaceHealth United General Medical CenterSedro Woolley—$121 – $138$186 – $212
Providence Centralia HospitalCentraliaFile dated 2026-04-01$335 – $4242 plans——
Skagit Valley HospitalMount Vernon$40.76 – $4347 plans$226 – $366$282 – $457
St Anthony HospitalGig HarborFile dated 2026-02-28$140 – $5852 plans$59.31 – $237$195 – $780
St Clare HospitalLakewoodFile dated 2026-02-28$140 – $5852 plans$56.21 – $225$195 – $780
St Elizabeth HospitalEnumclawFile dated 2026-02-28$64.94 – $7025 plans$68.91 – $276$195 – $780
St Francis Community HospitalFederal WayFile dated 2026-02-28$140 – $5852 plans$61.20 – $245$195 – $780
St Joseph Medical CenterTacomaFile dated 2026-02-28$140 – $5852 plans$64.59 – $258$195 – $780
St Michael Medical CenterSilverdaleFile dated 2026-02-28$125 – $70210 plans$86.07 – $344$195 – $780
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$371 – $3742 plans$203 – $205$508 – $513
Virginia Mason Medical CenterSeattle$113 – $1519 plans$96.39$189
Yakima Valley MemorialYakimaFile dated 2026-08-27$119 – $2374 plans$96.80 – $111$242 – $278

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.