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 | $338 – $501 | $84.80 | $212 |
| Cascade Valley Hospital | $24.98 – $660 | $214 – $527 | $267 – $659 |
| Deaconess Medical Center | $310 – $328 | $29.62 – $145 | $74.04 – $363 |
| EvergreenHealth Medical Center | — | $196 | $245 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $30.75 | $101 |
| Island Hospital | $319 – $347 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $320 – $346 | $33.20 | $83.00 |
| MultiCare Auburn Medical Center | $314 – $340 | $30.40 – $33.20 | $76.00 – $83.00 |
| MultiCare Covington Medical Center | $314 – $340 | $33.20 | $83.00 |
| MultiCare Good Samaritan Hospital | $322 – $347 | $33.20 | $83.00 |
| MultiCare Valley Hospital | $307 – $325 | $145 | $363 |
| Olympic Medical Center | $396 – $433 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $54.69 – $207 | $84.14 – $319 |
| PeaceHealth Southwest Medical Cente | $25.03 | $54.69 – $207 | $84.14 – $319 |
| PeaceHealth St John Medical Center | $18.77 – $25.27 | $54.69 – $872 | $84.14 – $1,341 |
| PeaceHealth St Joseph Medical Center | $25.27 | $54.69 – $2,668 | $84.14 – $4,104 |
| PeaceHealth United General Medical Center | — | $54.69 – $207 | $84.14 – $319 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | $52.00 | $100 |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| 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 | $17.12 – $20.85 | $35.58 | $101 |
| St Francis Community Hospital | — | $31.60 | $101 |
| St Joseph Medical Center | — | $33.35 | $101 |
| St Michael Medical Center | — | $44.44 | $101 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $322 – $348 | $29.58 – $33.20 | $73.93 – $83.00 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $67.83 | $133 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $92.00 | $92.00 |
| Yakima Valley Memorial | $307 – $357 | $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