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
NM IODINE 123-200 UCI KIT
Toccoa, GA
See all hospitals reporting HCPCS A4641 →Price type
Stephens County Hospital’s median price of $94 is 73% below the median hospital's median price ($353), higher than 14% of the 577 hospitals reporting HCPCS A4641. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 8 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 | Medicaid medicaid percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 2 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 4 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $97 | $97 | — | — | — | $97 – $97 |
| 5 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 7 | Caresource medicare fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 8 | Medicare medicare fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
Last updated: May 19, 2026
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