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
HB DRG I131 MIBG
Low
$101
Average
$2.0k
Median
$1.7k
High
$7.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
96 hospitals; the 90th percentile is 2.8× 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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96 hospital rates
iThe hospitals that file a Ambetter 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 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 2 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | CENTERPOINT MEDICAL CENTER Independence, MO percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 5 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 6 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $899 | $899 | — | — | — | $899 – $899 |
| 7 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Greeneville Community Hospital GREENEVILLE, TN fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Hardin County General Hospital Savannah, TN facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Hawkins County Memorial Hospital ROGERSVILLE, TN fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Holston Valley Medical Center KINGSPORT, TN fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 15 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $6.2k | $6.2k | $185 | 3% | — | $6.0k – $6.4k |
| 22 | Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
← Payers reporting HCPCS A9508 · Snapshot 20261111T120946Z-9134e7f7