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
INDIUM-111 CHARCOAL CAPSULE
Low
$19
Average
$581
Median
$345
High
$5.0k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 10.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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26 hospital rates
iThe hospitals that file a Amerihealth Caritas rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 2 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | HCA FLORIDA KENDALL HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 4 | HCA FLORIDA MERCY HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 1 | $516 | $516 | — | — | — | $516 – $516 |
| 5 | HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 6 | HCA FLORIDA WOODMONT HOSPITAL TAMARAC, FL percent of total billed charges · outpatientfrom % of charges | 1 | $923 | $923 | — | — | — | $923 – $923 |
| 7 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both | 1 | $33 | $33 | $26 | 79% | — | $7 – $59 |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $584 | $584 | — | — | — | $584 – $584 |
| 10 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 11 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $811 | $811 | — | — | — | $811 – $811 |
| 12 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $665 | $665 | — | — | — | $665 – $665 |
| 13 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $368 | $368 | — | — | — | $368 – $368 |
| 14 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $527 | $527 | — | — | — | $527 – $527 |
| 15 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 16 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $656 | $656 | — | — | — | $656 – $656 |
| 17 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 18 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 19 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 20 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 21 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 22 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 23 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 24 | St. Francis Hospital Inc Wilmington, DE facility · percent of total billed charges · bothfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 25 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
← Payers reporting HCPCS A4641 · Snapshot 20261111T120946Z-9134e7f7