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
$375
Average
$1.9k
Median
$1.4k
High
$7.1k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 4.4× 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.
Filter by billing methodology
Filter by billing class
63 hospital rates
iThe hospitals that file a Highmark 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 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $4.5k | $3.8k | $1.4k | 38% | — | $1.3k – $4.8k |
| 3 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $986 | $986 | $5 | 0% | — | $982 – $991 |
| 4 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $943 | $943 | — | — | — | $943 – $943 |
| 5 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 4 | $754 | $754 | — | — | — | $754 – $754 |
| 6 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 7 | HERITAGE VALLEY BEAVER BEAVER, PA fee schedule · both | 9 | $1.0k | $1.2k | $386 | 32% | — | $832 – $1.9k |
| 8 | HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA fee schedule · both | 9 | $1.0k | $1.2k | $386 | 32% | — | $832 – $1.9k |
| 9 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 10 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 13 | Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both | 4 | $1.0k | $1.1k | $526 | 50% | — | $402 – $2.1k |
| 14 | Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both | 4 | $1.0k | $1.1k | $526 | 50% | — | $402 – $2.1k |
| 15 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both | 4 | $1.0k | $1.1k | $526 | 50% | — | $402 – $2.1k |
| 16 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Lankenau Medical Center Wynnewood, PA facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 4 | $1.2k | $1.3k | $433 | 33% | — | $867 – $1.9k |
| 19 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $754 | $754 | — | — | — | $754 – $754 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 22 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Payers reporting HCPCS A9508 · Snapshot 20261111T120946Z-9134e7f7