A9517

Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie

Medicare pricing data for 116 providers across 5 states

🤖AI Overview

Prices vary significantly by location — from $19 in Texas to $107 in Florida. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie (HCPCS code A9517) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $42.61, but hospitals typically charge $130.47 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.52

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $42.61, your out-of-pocket cost would be approximately $8.52. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$42.61
Average Hospital Charge
$130.47
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$130.47
Medicare Allowed$42.61
Medicare Payment$33.96

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $33.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$107$234151,616+149.9%
Mississippi$59$1042488+39.4%
Arizona$40$85142,428-5.7%
California$37$173174,279-13.0%
Texas$19$7713522-54.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber