HCPCS A9517
Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
Current code44 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $84.80 | $212 |
| Cascade Valley Hospital | $24.98 – $660 | $214 – $527 | $267 – $659 |
| Deaconess Medical Center | — | $29.62 – $145 | $74.04 – $363 |
| EvergreenHealth Medical Center | — | $196 | $245 |
| Highline Medical Center | — | $30.75 | $101 |
| Mary Bridge Children's Hospital | — | $33.20 | $83.00 |
| MultiCare Auburn Medical Center | — | $30.40 – $33.20 | $76.00 – $83.00 |
| MultiCare Covington Medical Center | — | $33.20 | $83.00 |
| MultiCare Good Samaritan Hospital | — | $33.20 | $83.00 |
| MultiCare Valley Hospital | — | $145 | $363 |
| Providence Centralia Hospital | — | $52.00 | $100 |
| Providence St Peter Hospital | — | $52.00 | $100 |
| Skagit Valley Hospital | $312 – $413 | $134 – $527 | $168 – $659 |
| St Anthony Hospital | — | $30.63 | $101 |
| St Clare Hospital | — | $29.03 | $101 |
| St Elizabeth Hospital | $28.20 – $33.40 | $35.58 | $101 |
| St Francis Community Hospital | — | $31.60 | $101 |
| St Joseph Medical Center | — | $33.35 | $101 |
| St Michael Medical Center | — | $44.44 | $101 |
| Tacoma General Allenmore Hospital | — | $29.58 – $33.20 | $73.93 – $83.00 |
| Virginia Mason Medical Center | — | $67.83 | $133 |
| Yakima Valley Memorial | — | $7.26 – $32.40 | $18.14 – $81.00 |
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