APC 00863
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
I125 iothalamate, dx
Low
$629
Average
$655
Median
$650
High
$682
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 1.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 81 | $630 | $627 | $23 | 4% | — | $487 – $650 |
| 2 | Caresource fee schedule · outpatient | 15 | $650 | $650 | — | — | — | $650 – $650 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 6 | $650 | $650 | — | — | — | $650 – $650 |
| 4 | Carefirst facility · fee schedule · outpatient | 3 | $650 | $650 | — | — | — | $650 – $650 |
| 5 | Tricare facility · fee schedule · outpatient | 3 | $650 | $650 | — | — | — | $650 – $650 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient | 3 | $656 | $658 | $3 | 0% | — | $656 – $663 |
| 7 | Aetna facility · fee schedule · outpatient | 2 | $669 | $669 | — | — | — | $669 – $669 |
| 8 | Kaiser facility · fee schedule · outpatient | 1 | $682 | $682 | — | — | — | $682 – $682 |
← Hospitals reporting APC 00863 · Snapshot 20261111T120946Z-9134e7f7