I-123 sod iodide diag per 100 uci cost in Nebraska
I-123 SOD IODIDE DIAG PER 100 UCI · HCPCS A9516
$43.92
lowest in Nebraska
$53.34
state median
$164.34
highest in Nebraska
$144.24
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Good Samaritan | Kearney | $43.92 | $15.12 – $66.96 | 7 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $53.34 | $21.59 – $107.95 | 8 |
| Lasting Hope Recovery Center | Omaha | $53.34 | $21.59 – $107.95 | 7 |
| CHI Health Immanuel | Omaha | $53.34 | $17.78 – $107.95 | 8 |
| CHI Health Lakeside | Omaha | $53.34 | $20.32 – $107.95 | 8 |
| CHI Health Midlands | Papillion | $53.34 | $22.86 – $107.95 | 8 |
| CHI Health St. Elizabeth | Lincoln | $62.00 | $28.52 – $99.20 | 6 |
| CHI Health Plainview | Plainview | $90.72 | $65.88 – $146.26 | 19 |
| CHI Health Schuyler | Schuyler | $91.80 | $23.14 – $122.28 | 18 |
| CHI Health St. Francis | Grand Island | $101.48 | $39.56 – $161.68 | 7 |
| CHI Health St. Mary's | Nebraska City | $164.34 | $42.42 – $190.08 | 16 |