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
I-131 IOBENGUANE SULF DIAG MIBG
Troy, NY
See all hospitals reporting HCPCS A9508 →Price type
Samaritan Hospital’s median price of $2.2k is 65% above the median hospital's median price ($1.3k), higher than 76% of the 1,108 hospitals reporting HCPCS A9508. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 26 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 | Anthem empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 2 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Wellmark empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 8 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 9 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 10 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 17 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 18 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 21 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 22 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 23 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 24 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 25 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: Mar 31, 2026
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