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
$17
Average
$243
Median
$218
High
$902
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 11.8× 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
51 hospital rates
iThe hospitals that file a Excellus 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 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
| 2 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $22 | $48 | $44 | 92% | — | $12 – $110 |
| 3 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 4 | $53 | $121 | $134 | 111% | — | $26 – $352 |
| 4 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Highland Hospital Rochester, NY fee schedule · outpatient | 7 | $24 | $17 | $12 | 69% | — | $4 – $34 |
| 6 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $524 | $524 | — | — | — | $524 – $524 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $529 | $529 | — | — | — | $529 – $529 |
| 9 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $902 | $902 | — | — | — | $902 – $902 |
| 10 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $102 | $102 | — | — | — | $102 – $102 |
| 11 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 14 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 16 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 17 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 18 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 19 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 20 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 21 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · fee schedule · both | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 22 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 23 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | Plymouth Medical Center Plymouth, IN facility · fee schedule · both | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 25 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $330 | $330 | $109 | 33% | — | $221 – $439 |
← Payers reporting HCPCS A9517 · Snapshot 20261111T120946Z-9134e7f7