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NDC 69945060220

SODIUM IODIDE-123 7.4 MBQ (200 MICROCI) CAPSULE

Reported by 23 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$2.4k

Average

$3.7k

Median

$3.1k

High

$5.8k

Hospitals reporting this code

#HospitalLocation
1IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$53$3.2k$2.9k$4.0k$832
2IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$62$3.2k$2.9k$4.0k$796
3IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$44$3.2k$2.9k$4.4k$827
4IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$69$3.1k$2.9k$3.3k$541
5IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$57$3.2k$2.9k$4.0k$808
6Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$3.2k$4.8k$4.8k$5.6k$750
7Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$1.9k$5.8k$5.7k$10.1k$2.4k
8IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$76$3.1k$2.9k$3.5k$673
9St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$2.1k$5.1k$4.5k$5.9k$1.1k
10IHC Health Services Inc., DBA Intermountain Health American Fork HospitalAmerican Fork, UT$80$3.1k$2.9k$4.0k$773
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