Diagnostic radiopharmaceutical, not otherwise classified

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INDIUM-111 CHARCOAL CAPSULE

Medicaid pricing summary

Low

Average

$641

Median

$311

High

$3.1k

Medicaid rate distribution

Filter by billing methodology

Filter by billing class

24 hospital rates

#		Plans
1	ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient	1	$630	$630	—	—	—	$630 – $630
2	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$625	$625	—	—	—	$625 – $625
3	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	1	$505	$505	—	—	—	$505 – $505
4	Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31
5	Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient	2	$6	$6	—	—	—	$6 – $6
6	Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient	2	$6	$6	—	—	—	$6 – $6
7	GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient	1	$832	$832	—	—	—	$832 – $832
8	HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient	1	$630	$630	—	—	—	$630 – $630
9	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges	1	$369	$369	—	—	—	$369 – $369
10	Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
11	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$2.7k	$2.7k	$81	3%	—	$2.6k – $2.8k
12	Lompoc Valley Medical Center Lompoc, CA fee schedule · outpatient	1	$505	$527	$144	27%	—	$357 – $741
13	Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$55	$55	—	—	—	$55 – $55
14	Ohio State University Hospitals Columbus, OH fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
15	REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient	1	$630	$630	—	—	—	$630 – $630
16	SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient	1	$157	$157	$61	39%	—	$96 – $218
17	SIERRA VISTA HOSPITAL INC Obispo, CA fee schedule · outpatient	1	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
18	SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient	1	$195	$195	—	—	—	$195 – $195
19	Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges	1	$253	$253	—	—	—	$253 – $253
20	Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges	1	$173	$173	—	—	—	$173 – $173
21	Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges	1	$37	$37	—	—	—	$37 – $37
22	UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient	1	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
23	UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges	3	$214	$253	$116	46%	—	$136 – $411
24	WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient	1	$978	$978	—	—	—	$978 – $978