Code: A9516

Description:
Description: Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999
HC RP IODINE 123 PER 100 UCI
IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999
I123 SODIUM IODIDE CAP PER 100 UCI
I123 SODIUM IOD CAP PER 200 UCI
NM IODINE 123/TAB 200UC A9516
I-123 Sodium Cap 100 Uci
I-123 Sodium Cap 200 Uci
Related codes:
Code: A9510
TC99M DISOFENIN DX 15MCI
Code: A9512
TC99M PERTECHNETA DX MCI
Code: A9513
LU177 DOTATATE TX 200MCI
Code: A9515
Description: Choline c-11, diagnostic, per study dose up to 20 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9517
I131 SOD IOD CAP TX MCI
Code: A9518
I-131 SODIUM IODIDE SOLUTION
Code: A9519
TECHNETIUMTC-99MMACROAG ALBU
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage A9516 $25 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville A9516 $67 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin A9516 $69 [source] 4 years ago
St. Jude Children's Research Hospital , Memphis A9516 $74 [source] 4 years ago
Saint Francis Hospital - Memphis 5959 Park Ave., Memphis A9516 $139 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9516 $241 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9516 $241 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9516 $241 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9516 $241 [source] 4 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski A9516 $325 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester A9516 $545 [source] 4 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens A9516 $589 [source] 4 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah A9516 $589 [source] 4 years ago
Southern Tennessee Regional Health System - Lawrenceburg 1607 South Locust Avenue, Lawrenceburg A9516 $626 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.