Iron-based MRI contrast injection, per 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

Inj fe-based mr contrast,1ml

Payers reporting HCPCS Q9953

Payer pricing summary

Low

$12

Average

$592

Median

$159

High

$4.2k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +11 other terms	174	$116	$192	$139	72%	—	$56 – $531
2	Aetna fee schedule · outpatient · +13 other terms	95	$32	$32	$27	83%	—	$0 – $152
3	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	74	$47	$54	$61	112%	—	$0 – $277
4	Humana fee schedule · outpatient · +12 other terms	73	$217	$326	$217	67%	—	$14 – $604
5	Anthem fee schedule · outpatient · +9 other terms	34	$0	$1	$12	1057%	—	$0 – $126
6	UnitedHealthcare fee schedule · both · +13 other terms	26	$62	$72	$13	18%	—	$62 – $112
7	Phcs percent of total billed charges · bothfrom % of charges · +1 other terms	24	$99	$1.8k	$2.3k	128%	—	$2 – $5.9k
8	MultiPlan percent of total billed charges · bothfrom % of charges · +6 other terms	18	$3.0k	$2.3k	$2.7k	117%	—	$2 – $6.1k
9	Caresource facility · case rate · outpatient · +2 other terms	15	$23	$25	$6	23%	—	$15 – $39
10	Molina facility · case rate · outpatient · +8 other terms	15	$23	$25	$6	23%	—	$16 – $38
11	Highmark fee schedule · outpatient · +3 other terms	13	$25	$25	$3	11%	—	$22 – $29
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$40	$30	$20	68%	—	$1 – $50
13	Bcbs Nj fee schedule · outpatient	12	$54	$68	$25	37%	—	$47 – $127
14	Beechstreet percent of total billed charges · bothfrom % of charges	11	$2.9k	$2.5k	$2.8k	112%	—	$113 – $6.7k
15	Optum facility · case rate · outpatient · +4 other terms	11	$21	$23	$5	22%	—	$19 – $35
16	Medica fee schedule · outpatient · +5 other terms	10	$126	$127	$32	25%	—	$76 – $163
17	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	10	$86	$86	—	—	—	$86 – $86
18	Ambetter facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	9	$15	$15	—	—	—	$15 – $15
19	Ucare fee schedule · both	9	$62	$62	$2	3%	—	$60 – $63
20	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$14	$14	—	—	—	$14 – $14
21	Bcbs La fee schedule · outpatient · +1 other terms	6	$68	$68	—	—	—	$68 – $68
22	First Health facility · fee schedule · outpatient · +6 other terms	4	$44	$44	—	—	—	$44 – $44
23	Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms	3	$33	$33	$1	2%	—	$32 – $34
24	Bcbs Id facility · fee schedule · outpatient	3	$115	$75	$56	75%	—	$20 – $147
25	Bcbs Vt professional · fee schedule · outpatient	2	$161	$159	$59	37%	—	$15 – $238

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