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
iobenguane I-131 337.5 mCi/22.5 mL Soln 1 Each VIAL
Low
$363
Average
$790
Median
$790
High
$1.2k
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2 hospital rates
iThe hospitals that file a Clover 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 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Wellstar Windy Hill Hospital Marietta, GA facility · fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
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