Omnipaque oral imaging contrast liquid, 500 mL

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IOHEXOL 9 MG IODINE/ML ORAL SOLUTION

Payers reporting HCPCS A9698

Payer pricing summary

Low

Average

$421

Median

$200

High

$2.6k

Payer rate distribution

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#
1	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	39	$16	$79	$255	325%	—	$0 – $2.8k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +15 other terms	35	$18	$151	$348	231%	—	$0 – $1.7k
3	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	29	$93	$190	$767	405%	—	$2 – $6.9k
4	Medcost percent of total billed charges · outpatientfrom % of charges · +3 other terms	27	$685	$1.8k	$3.8k	218%	—	$13 – $20.3k
5	Cigna other · outpatient · +11 other terms	24	$22	$31	$51	163%	—	$6 – $366
6	Phcs percent of total billed charges · outpatientfrom % of charges · +4 other terms	24	$146	$224	$964	430%	—	$0 – $10.8k
7	Regence facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	23	$58	$83	$111	133%	—	$38 – $626
8	Beechstreet percent of total billed charges · outpatientfrom % of charges · +1 other terms	19	$957	$835	$1.3k	151%	—	$38 – $3.6k
9	UnitedHealthcare fee schedule · outpatient · +11 other terms	19	$435	$345	$161	47%	—	$26 – $435
10	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	16	$18	$24	$47	194%	—	$3 – $561
11	Anthem facility · case rate · outpatient · +12 other terms	15	$23	$25	$6	23%	—	$15 – $38
12	Caresource facility · case rate · outpatient · +7 other terms	15	$23	$25	$6	23%	—	$15 – $39
13	Molina facility · case rate · outpatient · +9 other terms	15	$23	$25	$6	23%	—	$16 – $38
14	Bcbs Mn fee schedule · outpatient · +6 other terms	12	$688	$437	$382	87%	—	$0 – $861
15	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms	12	$326	$320	$462	144%	—	$9 – $1.2k
16	Bcbs Tx percent of total billed charges · outpatientfrom % of charges · +2 other terms	12	$115	$109	$191	176%	—	$1 – $2.4k
17	Optum facility · case rate · outpatient · +5 other terms	11	$21	$23	$5	22%	—	$19 – $35
18	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	10	$75	$77	$5	6%	—	$75 – $92
19	Aetna other · outpatient · +11 other terms	9	$17	$47	$75	161%	—	$13 – $287
20	Healthpartners facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	9	$340	$337	$37	11%	—	$279 – $408
21	Humana other · outpatient · +9 other terms	8	$12	$12	$20	164%	—	$3 – $95
22	MultiPlan fee schedule · inpatient · +9 other terms	7	$68	$75	$30	41%	—	$44 – $147
23	First Health fee schedule · inpatient · +10 other terms	6	$56	$65	$30	46%	—	$38 – $130
24	Kaiser fee schedule · inpatient · +7 other terms	6	$48	$44	$12	26%	—	$26 – $60
25	Tricare fee schedule · outpatient · +5 other terms	5	$307	$307	—	—	—	$307 – $307

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