I-123 sod iodide diag per 100 uci cost in Indiana
I-123 SOD IODIDE DIAG PER 100 UCI · HCPCS A9516
$63.00
lowest in Indiana
$63.00
state median
$157.80
highest in Indiana
$157.80
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) | Kokomo | $63.00 | $54.76 – $54.76 | 11 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel | $63.00 | $54.76 – $54.76 | 11 |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel | $63.00 | $54.76 – $54.76 | 11 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem | $63.00 | $54.76 – $54.76 | 11 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers | $63.00 | $54.76 – $54.76 | 11 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil | $63.00 | $54.76 – $54.76 | 11 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson | $63.00 | $54.76 – $54.76 | 11 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis | $63.00 | $54.76 – $54.76 | 11 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh | $157.80 | $54.76 – $230.04 | 13 |