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
$38
Average
$2.2k
Median
$1.1k
High
$7.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 70.1× 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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24 hospital rates
iThe hospitals that file a WellCare 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 3 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 2 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $307 | $490 | 160% | — | $21 – $2.4k |
| 3 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $2.0k | $1.6k | $1.3k | 84% | — | $13 – $3.2k |
| 4 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $2.3k | $2.0k | $1.2k | 61% | — | $13 – $3.2k |
| 5 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 3 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 6 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL percent of total billed charges · bothfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $921 | $921 | — | — | — | $921 – $921 |
| 8 | MEMORIAL SATILLA HEALTH Waycross, GA percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 9 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 10 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 11 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 12 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 3 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 13 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 3 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 14 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 15 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 16 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 17 | Springfield Hospital Springfield, VT fee schedule · outpatient | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 18 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | Sweetwater Hospital Association Sweetwater, TN fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · other · outpatient | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 21 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $400 | 24% | — | $1.3k – $2.1k |
| 22 | The Presbyterian Hospital Charlotte, NC fee schedule · outpatient | 1 | $1.9k | $1.5k | $1.3k | 84% | — | $12 – $3.0k |
| 23 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
← Payers reporting HCPCS A4641 · Snapshot 20261111T120946Z-9134e7f7