I-123 sod iodide diag per 100 uci cost in Texas
I-123 SOD IODIDE DIAG PER 100 UCI · HCPCS A9516
$21.00
lowest in Texas
$198.45
state median
$1,026.00
highest in Texas
$158.05
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St. Luke's Health Memorial Livingston | Livingston | $21.00 | $30.80 – $140.00 | 8 |
| St. Luke's Health Memorial Lufkin | Lufkin | $21.00 | $71.40 – $140.00 | 8 |
| St. Luke's Health Memorial San Augustine | San Augustine | $21.00 | $25.20 – $145.60 | 9 |
| St. Joseph Health Madison Hospital | Madisonville | $92.93 | $67.65 – $477.90 | 21 |
| St. Joseph Health Burleson Hospital | Caldwell | $92.93 | $106.20 – $477.90 | 19 |
| St. Joseph Health College Station Hospital | College Station | $92.93 | $106.20 – $451.35 | 7 |
| St. Joseph Health Grimes Hospital | Navasota | $92.93 | $106.20 – $589.41 | 18 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $198.45 | $100.00 – $567.00 | 17 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $198.45 | $100.00 – $567.00 | 16 |
| St. Luke's Health - The Vintage Hospital | Houston | $198.45 | $100.00 – $567.00 | 16 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $198.45 | $100.00 – $567.00 | 16 |
| Baylor St Luke's Medical Center | Houston | $198.45 | $100.00 – $567.00 | 18 |
| St. Luke's Health - Patients Medical Center | Pasadena | $198.60 | $100.00 – $425.56 | 9 |
| HCA HOUSTON PEARLAND | Pearland | $884.09 | $199.50 – $2,113.77 | 4 |
| HCA HOUSTON SOUTHEAST | PASADENA | $899.88 | $199.50 – $2,113.77 | 4 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,026.00 | $199.50 – $2,113.77 | 4 |
| Covenant Hospital Levelland | Levelland | not published | $668.28 – $668.28 | 1 |
| Covenant Hospital Plainview | Plainview | not published | $668.28 – $668.28 | 1 |
| Covenant Children's Hospital | Lubbock | not published | $673.69 – $719.21 | 2 |
| Covenant Medical Center | Lubbock | not published | $673.69 – $954.27 | 3 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | not published | $238.31 – $238.31 | 1 |
| Texas Health Hospital Mansfield | Mansfield | not published | $238.31 – $238.31 | 1 |
| Adventhealth Rollins Brook | Lampasas | not published | $693.50 – $693.50 | 1 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $199.50 – $2,113.77 | 4 |
| HCA HOUSTON WEST | HOUSTON | not published | $199.50 – $2,113.77 | 4 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $199.50 – $2,113.77 | 4 |
| HCA HOUSTON CONROE | CONROE | not published | $199.50 – $2,113.77 | 4 |
| Adventhealth Central Texas | Killeen | not published | $693.50 – $693.50 | 1 |