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NDC 9999910376

I-123 IOFLUPANE DATSCAN DX PER STUDY DOSE=<5 MCI

Reported by 2 hospitals in the network under the other methodology.

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.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Based on 27–108 billing samples across every hospital reporting.

Low

$1.2k

Average

$1.3k

Median

$1.3k

High

$1.5k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Catholic Health Initiatives ColoradoColorado Springs, CO$1.0k$1.2k$28227–108$1.3k$9.8k
2Catholic Health Initiatives ColoradoLakewood, CO$1.1k$1.5k$946—$1.3k$9.8k

Look up this code directly

Ask Claude or any MCP client for NDC 9999910376 pricing at a specific hospital — see how to connect.

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