I-123 sod iodide diag per 100 uci cost in Pennsylvania
I-123 SOD IODIDE DIAG PER 100 UCI · HCPCS A9516
$83.40
lowest in Pennsylvania
$139.20
state median
$1,122.60
highest in Pennsylvania
$147.46
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Cole | Coudersport | $83.40 | $38.53 – $111.20 | 13 |
| UPMC Muncy | Muncy | $103.20 | $25.80 – $154.80 | 15 |
| UPMC Williamsport | Williamsport | $103.20 | $46.44 – $154.80 | 13 |
| UPMC Wellsboro | Wellsboro | $124.80 | $28.08 – $140.40 | 12 |
| WellSpan Gettysburg Hospital | Gettysburg | $130.40 | $374.69 – $379.26 | 2 |
| WellSpan Chambersburg Hospital | Chambersburg | $130.40 | $117.36 – $379.26 | 3 |
| WellSpan Waynesboro Hospital | Waynesboro | $130.40 | $144.32 – $379.26 | 3 |
| WellSpan Ephrata Community Hospital | Ephrata | $130.40 | $374.69 – $379.26 | 2 |
| UPMC Community Osteopathic | Harrisburg | $139.20 | $46.40 – $355.38 | 9 |
| UPMC Hanover | Hanover | $139.20 | $137.83 – $355.38 | 2 |
| UPMC Lititz | Lititz | $139.20 | $108.36 – $355.38 | 3 |
| UPMC Memorial | York | $139.20 | $97.91 – $355.38 | 6 |
| UPMC Somerset | Somerset | $139.20 | $118.92 – $212.86 | 2 |
| UPMC Carlisle | Carlisle | $139.20 | $31.78 – $197.20 | 11 |
| UPMC Jameson | New Castle | $158.40 | $108.36 – $355.38 | 3 |
| UPMC Kane | Kane | $163.20 | $109.25 – $261.69 | 3 |
| UPMC Altoona | Altoona | $236.40 | $120.13 – $355.38 | 10 |
| UPMC Horizon-Greenville | Greenville | $265.20 | $111.60 – $355.38 | 3 |
| Uniontown Hospital | Uniontown | $292.00 | not published | 0 |
| UPMC St. Margaret | Pittsburgh | $316.80 | $121.28 – $436.07 | 2 |
| UPMC McKeesport | Mckeesport | $356.40 | $119.20 – $355.38 | 3 |
| UPMC Magee | Pittsburgh | $357.60 | $100.23 – $355.38 | 3 |
| UPMC Passavant-McCandless | Pittsburgh | $463.20 | $121.28 – $515.69 | 2 |
| UPMC Northwest | Seneca | $646.80 | $311.79 – $430.04 | 2 |
| UPMC Presbyterian | Pittsburgh | $748.80 | $121.28 – $574.58 | 2 |
| UPMC Hamot | Erie | $1,122.60 | $85.42 – $307.56 | 3 |