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

Unknown: The source file doesn't say which population this rate applies to.

Prices for HCPCS A9516 by hospital
HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$24.00 – $27.60$60.00 – $69.00
Cascade Valley HospitalArlington—$226$282
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$205$512
EvergreenHealth Medical CenterKirkland$1,2871 plan$1,144$1,430
Highline Medical CenterBurienFile dated 2026-02-28—$59.55 – $238$195 – $780
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$205$513
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$205$513
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$205$513
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$205$513
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$205$512
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$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———
Skagit Valley HospitalMount Vernon—$226 – $366$282 – $457
St Anthony HospitalGig HarborFile dated 2026-02-28—$59.31 – $237$195 – $780
St Clare HospitalLakewoodFile dated 2026-02-28—$56.21 – $225$195 – $780
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$68.91 – $276$195 – $780
St Francis Community HospitalFederal WayFile dated 2026-02-28—$61.20 – $245$195 – $780
St Joseph Medical CenterTacomaFile dated 2026-02-28—$64.59 – $258$195 – $780
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$86.07 – $344$195 – $780
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$203 – $205$508 – $513
Virginia Mason Medical CenterSeattle—$96.39$189
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.