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
$20
Average
$88
Median
$24
High
$2.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
132 hospitals; the 90th percentile is 6.9× 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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141 hospital rates
iThe hospitals that file a Tricare 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 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $24 | $24 | — | — | 143 | $24 – $24 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $24 | $24 | — | — | 143 | $24 – $24 |
| 3 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 5 | Boston Medical Center Boston, MA other · both | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 8 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $83 | $83 | $59 | 72% | — | $23 – $142 |
| 9 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Centinela Hospital Medical Center Inglewood, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 11 | CentraState Medical Center Freehold Township, NJ other · both | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 19 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $215 | $215 | $168 | 78% | — | $48 – $383 |
| 20 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $30 | $30 | $0 | 1% | — | $29 – $30 |
| 21 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 24 | Encino Hospital Medical Center Encino, CA fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 25 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
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