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
$201
Average
$390
Median
$447
High
$475
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 1.9× 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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16 hospital rates
iThe hospitals that file a WellCare 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 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 2 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 4 | $334 | $418 | $136 | 33% | — | $334 – $685 |
| 3 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $334 | $334 | — | — | — | $334 – $334 |
| 4 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 5 | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER SAVANNAH, GA fee schedule · outpatient | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 6 | University Medical Center, Inc. Louisville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 7 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 8 | UofL Health-Louisville Inc. Louisville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 9 | UofL Health-Louisville Inc. Louisville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 10 | UofL Health-Louisville Inc. Louisville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 11 | UofL Health-Louisville Inc. Louisville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 12 | UofL Health-Louisville Inc. Shepherdville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 13 | UofL Health-Louisville Inc. Louisville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 14 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 15 | UofL Health-Louisville Inc. Louisville, KY facility · fee schedule · outpatient | 1 | $475 | $475 | — | — | — | $475 – $475 |
| 16 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
← Payers reporting HCPCS A9590 · Snapshot 20261111T120946Z-9134e7f7