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
INDIUM 111-PENTETREOTIDE 3 MCI/ML-10 MCG INTRAVENOUS KIT
Low
$836
Average
$2.1k
Median
$2.0k
High
$7.6k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 1.1× 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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114 hospital rates
iThe hospitals that file a Medicare 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 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 3 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Allina Health Systems Faribualt, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $2.4k | $2.4k | $350 | 15% | — | $2.0k – $2.7k |
| 12 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $2.4k | $2.4k | $350 | 15% | — | $2.0k – $2.7k |
| 13 | Banner Fort Collins Medical Center Fort Collins, CO facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | Boston Medical Center Boston, MA other · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Boston Medical Center Brighton Boston, MA other · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Boston Medical Center South Brockton, MA other · both | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $836 | $836 | — | — | — | $836 – $836 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
← Payers reporting HCPCS A9572 · Snapshot 20261111T120946Z-9134e7f7