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
HC Si I-131 Capsule Tx/Mci
Low
$3
Average
$521
Median
$60
High
$31.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1386 hospitals; the 90th percentile is 14.8× 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.
Filter by billing methodology
Filter by billing class
2,240 hospital rates
iThe hospitals that file a Aetna 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 | Barnes Jewish Hospital St. Louis, MO other · both | 2 | $24 | $24 | — | — | 1,129 | $24 – $24 |
| 2 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 11 | $101 | $136 | $105 | 77% | 381 | $22 – $285 |
| 3 | Saint Luke’s North Hospital Smithville, MO percent of total billed charges · bothfrom % of charges | 11 | $102 | $137 | $106 | 77% | 322 | $22 – $285 |
| 4 | Saint Luke’s North Hospital City, KS percent of total billed charges · bothfrom % of charges | 11 | $102 | $137 | $106 | 77% | 322 | $22 – $285 |
| 5 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 4 | $48 | $46 | $4 | 8% | 270 | $40 – $49 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $25 | $1.4k | $1.7k | 120% | 200 | $25 – $3.5k |
| 7 | Missouri Baptist Medical Center Saint Louis, MO other · both | 2 | $24 | $24 | — | — | 150 | $24 – $24 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $24 | $24 | — | — | 144 | $24 – $24 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $24 | $24 | — | — | 144 | $24 – $24 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 7 | $109 | $96 | $43 | 45% | 122 | $55 – $212 |
| 11 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 11 | $102 | $137 | $106 | 77% | 75 | $22 – $285 |
| 12 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 51 | $3.6k – $3.6k |
| 13 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $35.7k | $36.7k | $4.7k | 13% | 19 | $35.7k – $59.5k |
| 14 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 15 | $1.1k – $1.1k |
| 15 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | 15 | $56 – $56 |
| 16 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $19.4k | $19.7k | $6.6k | 33% | 5–50 | $11.2k – $30.8k |
| 17 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $1.8k | $1.8k | — | — | 4–40 | $1.8k – $1.8k |
| 18 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $21 | $1 | 4% | 4–40 | $20 – $22 |
| 19 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 4 | $13.2k | $14.4k | $13.9k | 97% | 4–40 | $412 – $30.7k |
| 20 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO percent of total billed charges · outpatientfrom % of charges | 4 | $13.2k | $14.4k | $13.9k | 97% | 4–40 | $412 – $30.7k |
| 21 | HCA HEALTHONE SWEDISH Englewood, CO percent of total billed charges · outpatientfrom % of charges | 4 | $13.2k | $14.4k | $13.9k | 97% | 4–40 | $412 – $30.7k |
| 22 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $321 | $347 | $168 | 49% | 4–40 | $151 – $593 |
| 23 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $26 | $30 | $14 | 47% | 4–40 | $13 – $52 |
| 24 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 4 | $71 | $61 | $18 | 29% | 3–30 | $30 – $71 |
| 25 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $183 | $215 | $190 | 88% | 2–20 | $32 – $535 |
← Payers reporting HCPCS A9517 · Snapshot 20261111T120946Z-9134e7f7