HCPCS A9528
Iodine i-131 sodium iodide capsule(s), diagnostic, per millicurie
Current code19 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $146 – $156 | $73.20 | $183 |
| Deaconess Medical Center | $119 – $122 | $66.80 | $167 |
| EvergreenHealth Medical Center | $152 – $486 | $381 | $476 |
| Mary Bridge Children's Hospital | $120 – $146 | $73.20 | $183 |
| MultiCare Auburn Medical Center | $1.62 – $134 | $1.10 – $73.20 | $2.75 – $183 |
| MultiCare Covington Medical Center | $108 – $134 | $73.20 | $183 |
| MultiCare Good Samaritan Hospital | $1.83 – $134 | $1.24 – $73.68 | $3.10 – $184 |
| MultiCare Valley Hospital | $120 | $66.80 | $167 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.00 | $100 |
| Providence Centralia Hospital | — | $52.00 | $100 |
| Providence Holy Family Hospital | — | $70.00 | $100 |
| Providence St Mary Medical Center | — | $70.00 | $100 |
| Providence St Peter Hospital | — | $52.00 | $100 |
| Skagit Valley Hospital | $35.79 – $236 | $198 | $248 |
| Tacoma General Allenmore Hospital | $96.11 – $134 | $65.16 – $73.20 | $163 – $183 |
| Virginia Mason Medical Center | $85.19 – $106 | $67.83 | $133 |
| Yakima Valley Memorial | $2.79 – $18.48 | $2.00 – $13.20 | $4.98 – $33.00 |
Medicare (traditional) reference
CMS publishes no national amount for this code.