Diagnostic radiopharmaceutical, not otherwise classified at Mayo Clinic Arizona

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INDIUM-111 CHARCOAL CAPSULE

Phoenix, AZ

See all hospitals reporting HCPCS A4641 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mayo Clinic Arizona’s median price of $817 is 137% above the median hospital's median price ($345), higher than 72% of the 583 hospitals reporting HCPCS A4641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4641 at Mayo Clinic Arizona

Negotiated rates from the hospital’s own file: 17 payers, 46 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medica az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$614	$614	—	—	—	$614 – $614
2	Optum az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$614	$614	—	—	—	$614 – $614
3	UnitedHealthcare az uhc gap exception [1376] facility · percent of total billed charges · bothfrom % of charges	$614	$614	—	—	—	$614 – $614
4	UnitedHealthcare az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$614	$614	—	—	—	$614 – $614
5	Cigna az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
6	Cigna az cigna gap exception [1383] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
7	Healthpartners az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
8	Humana az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
9	Medcost az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
10	Medical Mutual az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
11	Oscar az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$627	$627	—	—	—	$627 – $627
12	Aetna az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
13	Anthem az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
14	Blue Cross Blue Shield az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
15	Blue Cross Blue Shield az federal retiree [1020] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
16	Blue Cross Blue Shield az tx bcbs [875] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
17	Cigna az tx cigna [838] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
18	Healthpartners az cc complex care [768] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
19	Kaiser az fl transplant [694] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
20	Medical Mutual az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$681	$681	—	—	—	$681 – $681
21	Aetna az geha aetna federal retiree [1021] facility · percent of total billed charges · bothfrom % of charges	$726	$726	—	—	—	$726 – $726
22	Humana az by plan [32] facility · percent of total billed charges · bothfrom % of charges	$726	$726	—	—	—	$726 – $726
23	Aetna az transplant [28] facility · percent of total billed charges · bothfrom % of charges	$817	$817	—	—	—	$817 – $817
24	First Health az aetna asa [1119] facility · percent of total billed charges · bothfrom % of charges	$817	$817	—	—	—	$817 – $817
25	Humana az transplant [28] facility · percent of total billed charges · bothfrom % of charges	$817	$817	—	—	—	$817 – $817

Page 1 of 2 · 46 rates

Last updated: Aug 14, 2026

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