NDC 17156-0235-01
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 SULFATE I-123 10 MCI/5 ML (370 MBQ/5 ML) INTRAVENOUS SOLN
Low
$448
Average
$4.5k
Median
$2.1k
High
$19.8k
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 31 hospitals; the 90th percentile is 14.7× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $1.8k | $1.8k | — | — | 11 | $1.8k – $10.1k |
| 2 | Trinity Hospital Holding Company Steubenville, OH | $1.9k | $2.1k | $419 | 20% | — | $1.9k – $7.3k |
| 3 | Gottlieb Memorial Hospital Melrose Park, IL | $6.7k | $6.7k | — | — | — | $2.0k – $6.7k |
| 4 | Geisinger Community Medical Center Scranton, PA | $20.1k | $19.8k | $2.9k | 14% | — | $5.1k – $24.9k |
| 5 | Geisinger Bloomsburg Hospital Bloomsburg, PA | $10.4k | $9.2k | $3.4k | 37% | — | $3.9k – $23.5k |
| 6 | Geisinger Wyoming Valley Wilkes-Barre, PA | $19.7k | $19.7k | $3.5k | 18% | — | $13.8k – $23.5k |
| 7 | Geisinger Lewistown Hospital Lewistown, PA | $16.7k | $17.5k | $4.3k | 25% | — | $12.4k – $24.9k |
| 8 | Geisinger Jersey Shore Hospital Jersey Shore, PA | $15.1k | $13.2k | $3.0k | 23% | — | $8.9k – $22.1k |
| 9 | University of Arkansas for Medical Sciences Little Rock, AR | $887 | $887 | — | — | — | $887 – $5.8k |
| 10 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $4.8k |
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