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
$0
Average
$631
Median
$99
High
$33.8k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1186 hospitals; the 90th percentile is 17.1× 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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1,686 hospital rates
iThe hospitals that file a Cigna 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $45 | $45 | $1 | 3% | 200 | $44 – $47 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 181 | $5.5k – $5.5k |
| 3 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $147 | $25 | 17% | 151 | $119 – $189 |
| 4 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $147 | $25 | 17% | 151 | $119 – $189 |
| 5 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 4 | $54 | $55 | $8 | 14% | 150 | $45 – $67 |
| 6 | Saint Luke’s East Hospital Summit, MO fee schedule · both | 5 | $145 | $134 | $23 | 17% | 148 | $89 – $145 |
| 7 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 140 | $1.9k – $1.9k |
| 8 | St. Lukes Hospital of Kansas City City, KS fee schedule · both | 5 | $145 | $134 | $23 | 17% | 75 | $89 – $145 |
| 9 | Saint Luke’s South Hospital, Inc Leawood, KS fee schedule · both | 5 | $145 | $134 | $23 | 17% | 50 | $89 – $145 |
| 10 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $187 | $180 | $10 | 6% | 42 | $165 – $187 |
| 11 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $725 | $815 | $221 | 27% | 33 | $602 – $1.1k |
| 12 | Piedmont Fayette Fayetteville, GA percent of total billed charges · bothfrom % of charges | 2 | $60 | $60 | $10 | 17% | 25 | $50 – $70 |
| 13 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $897 | $897 | — | — | 4–40 | $897 – $897 |
| 14 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | $1 | 4% | 4–40 | $17 – $18 |
| 15 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $101 | $88 | $37 | 42% | 2–20 | $25 – $132 |
| 16 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 2–20 | $1.9k – $1.9k |
| 17 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $358 | $358 | — | — | 1–10 | $358 – $358 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · inpatientfrom % of charges | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $382 | $382 | — | — | 1–10 | $382 – $382 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 22 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $26 | $38 | $29 | 77% | 1–10 | $9 – $77 |
| 23 | Community Medical Center Toms River, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $929 | $929 | — | — | 1–10 | $929 – $929 |
| 24 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 25 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $12.6k | $12.6k | — | — | 1–10 | $12.6k – $12.6k |
← Payers reporting HCPCS A9517 · Snapshot 20261111T120946Z-9134e7f7