I-123 sod iodide diag per 100 uci cost in Michigan
I-123 SOD IODIDE DIAG PER 100 UCI · HCPCS A9516
$55.44
lowest in Michigan
$157.09
state median
$171.24
highest in Michigan
$166.40
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| Henry Ford River District Hospital | China Township | $55.44 | $60.74 – $60.74 | 1 |
| Henry Ford St John Hospital | Detroit | $77.28 | $57.64 – $60.74 | 3 |
| Henry Ford Warren Hospital | Warren | $77.28 | $60.74 – $60.74 | 1 |
| Henry Ford Providence Novi Hospital | Novi | $81.20 | $73.93 – $135.66 | 9 |
| Henry Ford Genesys Hospital | Grand Blanc Twp | $94.50 | $74.07 – $217.02 | 6 |
| Corewell Health Butterworth Hospital | Grand Rapids | $144.24 | $108.36 – $108.36 | 1 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $144.24 | $108.36 – $108.36 | 1 |
| Corewell Health Gross Pointe | Grosse Pointe | $157.09 | $55.41 – $143.62 | 3 |
| Corewell Health Taylor | Taylor | $157.09 | $55.41 – $74.58 | 2 |
| Corewell Health Trenton | Trenton | $157.09 | $55.41 – $71.04 | 2 |
| Corewell Health Troy | Troy | $157.09 | $55.41 – $142.93 | 3 |
| Corewell Health Wayne | Wayne | $157.09 | $55.41 – $70.24 | 2 |
| Corewell Health Big Rapids | Big Rapids | $171.24 | $108.36 – $108.36 | 1 |
| Corewell Health Gerber | Fremont | $171.24 | $108.36 – $108.36 | 1 |
| Corewell Health Reed City | Po Box 75 | $171.24 | $108.36 – $108.36 | 1 |
| Corewell Health Greenville | Greenville | $171.24 | $108.36 – $108.36 | 1 |
| Corewell Health Zeeland | Zeeland | $171.24 | $108.36 – $108.36 | 1 |
| Corewell Health Pennock | Hastings | $171.24 | $108.36 – $108.36 | 1 |
| Henry Ford Wyandotte Hospital: | Wyandotte | not published | $0.01 – $326.63 | 12 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | not published | $0.01 – $326.63 | 13 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | not published | $0.01 – $326.63 | 16 |
| Henry Ford Macomb Hospital | Clinton Twp | not published | $0.01 – $344.66 | 12 |