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
$19
Average
$251
Median
$217
High
$1.4k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 12.4× 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.
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55 hospital rates
iThe hospitals that file a Carefirst 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 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $471 | 31% | — | $1.1k – $2.0k |
| 3 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $19 | $19 | $2 | 13% | — | $16 – $22 |
| 4 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $524 | $514 | $15 | 3% | — | $493 – $529 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $529 | $519 | $16 | 3% | — | $496 – $534 |
| 7 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $902 | $902 | — | — | — | $902 – $902 |
| 8 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $26 | $26 | — | — | — | $26 – $26 |
| 9 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 10 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 11 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $74 | $74 | — | — | — | $74 – $74 |
| 12 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $61 | $61 | — | — | — | $61 – $61 |
| 13 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 14 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 3 | $48 | $48 | — | — | — | $48 – $48 |
| 15 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 16 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $60 | $60 | — | — | — | $60 – $60 |
| 17 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $48 | — | — | — | $48 – $48 |
| 19 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 21 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 22 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 23 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 24 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 25 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $217 | $217 | — | — | — | $217 – $217 |
← Payers reporting HCPCS A9517 · Snapshot 20261111T120946Z-9134e7f7