Low-osmolar iodinated contrast dye, 1 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LOCM .> = 400 MG/ML 1 ML

Blue Cross Blue Shield pricing summary

Low

Average

$133

Median

High

$6.3k

Blue Cross Blue Shield rate distribution

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146 hospital rates

#		Plans
1	ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges	2	$2	$2	$1	50%	—	$1 – $3
2	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient	2	$2	$2	$0	6%	—	$2 – $2
3	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges	3	$2	$2	$1	36%	—	$1 – $2
4	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges	5	$15	$12	$3	28%	—	$7 – $16
5	Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · fee schedule · outpatient	2	$13	$13	$1	5%	—	$12 – $14
6	Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges	2	$510	$510	$5	1%	—	$506 – $515
7	Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · fee schedule · outpatient	2	$14	$13	$1	5%	—	$13 – $14
8	Advocate Christ Medical Center Oak Lawn, IL facility · fee schedule · outpatient	2	$13	$13	$1	5%	—	$12 – $14
9	Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges	2	$500	$500	$5	1%	—	$495 – $505
10	Advocate Condell Medical Center Libertyville, IL fee schedule · outpatient	2	$8	$8	$0	5%	—	$8 – $9
11	Advocate Good Samaritan Hospital Downers Grove, IL fee schedule · outpatient	2	$13	$13	$1	5%	—	$12 – $14
12	Advocate Good Shepherd Hospital Barrington, IL fee schedule · outpatient	2	$13	$13	$1	5%	—	$12 – $14
13	Advocate Illinois Masonic Medical Center Chicago, IL fee schedule · outpatient	2	$13	$13	$1	5%	—	$12 – $14
14	Advocate Lutheran General Hospital Park Ridge, IL fee schedule · outpatient	2	$13	$13	$1	5%	—	$12 – $14
15	Advocate Sherman Hospital Elgin, IL fee schedule · outpatient	2	$6	$6	$0	5%	—	$6 – $7
16	Advocate South Suburban Hospital Hazel Crest, IL fee schedule · outpatient	2	$13	$13	$1	5%	—	$12 – $14
17	Advocate Trinity Hospital Chicago, IL fee schedule · outpatient	2	$13	$13	$1	5%	—	$12 – $14
18	Alomere Health Alexandria, MN facility · fee schedule · outpatient	2	$0	$0	—	—	—	$0 – $0
19	Altru Hospital Grand Forks, ND facility · fee schedule · outpatient	2	$0	$0	—	—	—	$0 – $0
20	Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient	2	$0	$0	—	—	—	$0 – $0
21	BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges	6	$3	$2	$1	34%	—	$1 – $3
22	BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges	7	$1	$2	$0	8%	—	$1 – $2
23	Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges	6	$2	$2	$0	18%	—	$1 – $3
24	BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges	6	$5	$5	—	—	—	$5 – $5
25	Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges	6	$2	$2	$0	18%	—	$1 – $3