Code: A9517

Description:
Description: Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI
ISOTOPE I131 CAP PER MCI
HC RP IODINE 131 MCI THERAPY
SODIUM IODIDE I-131 JW
I 131 SODIUM IODIDE CAPSU
I-131 PER MCI
I131 SOD IODNE THRPY 30MCI
RX TX I 131 Initial Mci
RX TX I 131 Addl Mci
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: A9516
I123 SOD DX 100-999 UCI
Code: A9518
I-131 SODIUM IODIDE SOLUTION
Code: A9519
TECHNETIUMTC-99MMACROAG ALBU
California
Hospital Address Code Price Last Updated
Corona Regional Medical Center 800 S. Main Street, Corona A9517 $41 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa A9517 $53 [source] 4 years ago
Novato Community Hospital 180 Rowland Way, Novato A9517 $54 [source] 4 years ago
Sutter Solano Medical Center 300 Hospital Dr, Vallejo A9517 $57 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville A9517 $62 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento A9517 $62 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento A9517 $62 [source] 4 years ago
Sutter Auburn Faith Hospital 11815 Education St, Auburn A9517 $62 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame A9517 $63 [source] 4 years ago
Doctors Medical Center Of Modesto 1441 Florida Ave., Modesto A9517 $67 [source] 4 years ago
Sutter Health Memorial Medical Center 1700 Coffee Rd, Modesto A9517 $75 [source] 4 years ago
Sutter Tracy Community Hospital 1420 N Tracy Blvd, Tracy A9517 $77 [source] 4 years ago
Alta Bates Summit Medical Center - Summit Campus 3100 Summit Street, Oakland A9517 $78 [source] 4 years ago
Alta Bates Summit Medical Center - Alta Bates Campus 2450 Ashby Ave, Berkeley A9517 $78 [source] 4 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch A9517 $79 [source] 4 years ago
Sutter Davis Hospital 2000 Sutter Pl, Davis A9517 $81 [source] 4 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco A9517 $91 [source] 4 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco A9517 $91 [source] 4 years ago
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco A9517 $91 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9517 $94 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9517 $94 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9517 $94 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9517 $94 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9517 $94 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9517 $94 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9517 $94 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9517 $94 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9517 $94 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9517 $94 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9517 $94 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9517 $94 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9517 $94 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9517 $94 [source] 4 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks A9517 $121 [source] 4 years ago
Sierra Vista Regional Medical Center 1010 Murray Ave., San Luis Obispo A9517 $162 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9517 $165 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9517 $165 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9517 $165 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9517 $165 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9517 $165 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9517 $165 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9517 $165 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9517 $165 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9517 $165 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9517 $165 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9517 $165 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9517 $165 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9517 $165 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9517 $165 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9517 $165 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9517 $165 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9517 $165 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9517 $165 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose A9517 $165 [source] 4 years ago
Desert Regional Medical Center 1150 N. Indian Canyon Way, Palm Springs A9517 $165 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside A9517 $207 [source] 4 years ago
Twin Cities Community Hospital 1100 Las Tablas Rd., Templeton A9517 $298 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills A9517 $9,976 [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.