HCPCS A9517

Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie

Current code44 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.

Prices for HCPCS A9517 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$19.21 – $24319 plans$84.80$212
Cascade Valley HospitalArlington$21.34 – $2,70011 plans$214 – $527$267 – $659
Deaconess Medical CenterSpokaneFile dated 2026-08-27$24.07 – $26516 plans$29.62 – $145$74.04 – $363
EvergreenHealth Medical CenterKirkland$21.34 – $66127 plans$196$245
Harborview Medical CenterSeattleFile dated 2026-04-01$38.51 – $52.273 plans——
Highline Medical CenterBurienFile dated 2026-02-28$21.34 – $10616 plans$30.75$101
Island HospitalAnacortes$44.99 – $50.624 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$21.34 – $87.8910 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$26.39 – $48.144 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$24.07 – $1,13720 plans$33.20$83.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$24.07 – $11020 plans$30.40 – $33.20$76.00 – $83.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$24.07 – $11020 plans$33.20$83.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$24.07 – $11020 plans$33.20$83.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$24.07 – $26116 plans$145$363
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$20.82 – $15315 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$54.69 – $207$84.14 – $319
PeaceHealth Southwest Medical CenteVancouver$9.63 – $78.105 plans$54.69 – $207$84.14 – $319
PeaceHealth St John Medical CenterLongview$9.63 – $24.073 plans$54.69 – $872$84.14 – $1,341
PeaceHealth St Joseph Medical CenterBellingham$24.072 plans$54.69 – $2,668$84.14 – $4,104
PeaceHealth United General Medical CenterSedro Woolley—$54.69 – $207$84.14 – $319
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$16.65 – $79.8512 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$21.34 – $90.0011 plans$52.00$100
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$21.34 – $88.2411 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$18.14 – $74.6511 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$21.34 – $70.818 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$20.46 – $94.0413 plans$52.00$100
Skagit Valley HospitalMount Vernon$21.34 – $62610 plans$134 – $527$168 – $659
St Anthony HospitalGig HarborFile dated 2026-02-28$21.34 – $11517 plans$30.63$101
St Clare HospitalLakewoodFile dated 2026-02-28$21.34 – $11517 plans$29.03$101
St Elizabeth HospitalEnumclawFile dated 2026-02-28$20.76 – $90.6216 plans$35.58$101
St Francis Community HospitalFederal WayFile dated 2026-02-28$21.34 – $11517 plans$31.60$101
St Joseph Medical CenterTacomaFile dated 2026-02-28$21.34 – $11517 plans$33.35$101
St Michael Medical CenterSilverdaleFile dated 2026-02-28$21.34 – $11218 plans$44.44$101
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$25.61 – $86.6713 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$21.34 – $10214 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$21.34 – $10222 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$21.34 – $10216 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$24.07 – $11020 plans$29.58 – $33.20$73.93 – $83.00
University of Washington Medical CtrSeattleFile dated 2026-04-01$27.32 – $75.4912 plans——
Virginia Mason Medical CenterSeattle$21.34 – $10610 plans$67.83$133
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$60.741 plan——
WhidbeyHealth Medical CenterCoupeville—$92.00$92.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$8.89 – $76.5519 plans$7.26 – $32.40$18.14 – $81.00

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$24.07 (APC 1064)
Surgery center payment (national)
$24.07