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
INJECTION, CARBOXYDEXTRAN-COATED SUPERPARAMAGNETIC IRON OXIDE, PER STUDY DOSE
Low
$226
Average
$1.4k
Median
$1.2k
High
$4.0k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 6.5× 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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34 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $723 | $723 | — | — | — | $723 – $723 |
| 2 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 3 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 4 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | HCA FLORIDA MERCY HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 1 | $827 | $827 | — | — | — | $827 – $827 |
| 7 | HCA FLORIDA UNIVERSITY HOSPITAL Davie, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | HCA FLORIDA WESTSIDE HOSPITAL PLANTATION, FL percent of total billed charges · outpatientfrom % of charges | 1 | $834 | $834 | — | — | — | $834 – $834 |
| 9 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $677 | $677 | — | — | — | $677 – $677 |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 17 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $474 | 37% | — | $799 – $1.7k |
| 18 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $82 | 4% | — | $2.0k – $2.1k |
| 19 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | $136 | 8% | — | $1.5k – $1.8k |
| 20 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $335 | 26% | — | $961 – $1.6k |
| 21 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | $406 | 22% | — | $1.4k – $2.2k |
| 22 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | $714 | 46% | — | $838 – $2.3k |
| 23 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $102 | 7% | — | $1.3k – $1.5k |
| 24 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 25 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
← Payers reporting HCPCS A9697 · Snapshot 20261111T120946Z-9134e7f7