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
$19
Average
$1.2k
Median
$972
High
$4.2k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
142 hospitals; the 90th percentile is 2.2× 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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147 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $1.0k | $1.0k | $24 | 2% | — | $1.0k – $1.0k |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $916 | $916 | — | — | — | $916 – $916 |
| 3 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 4 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $916 | $916 | — | — | — | $916 – $916 |
| 6 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 8 | CHI MEMORIAL HOSPITAL - GEORGIA Ringgold, GA fee schedule · outpatient | 1 | $502 | $502 | — | — | — | $502 – $502 |
| 9 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $952 | $952 | — | — | — | $952 – $952 |
| 10 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 11 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $952 | $952 | — | — | — | $952 – $952 |
| 12 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 13 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 14 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $916 | $916 | — | — | — | $916 – $916 |
| 15 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $899 | $899 | — | — | — | $899 – $899 |
| 16 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 17 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 20 | Danbury Hospital New Milford, CT fee schedule · outpatient | 1 | $972 | $972 | — | — | — | $972 – $972 |
| 21 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $916 | $916 | — | — | — | $916 – $916 |
| 23 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $953 | $953 | — | — | — | $953 – $953 |
| 24 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $889 | $889 | — | — | — | $889 – $889 |
← Payers reporting HCPCS A9508 · Snapshot 20261111T120946Z-9134e7f7