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.
Original text from hospital filings
Inj fe-based mr contrast,1ml
Low
$2
Average
$1.2k
Median
$214
High
$3.2k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
55 hospitals; the 90th percentile is 231.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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67 hospital rates
iThe hospitals that file a MultiPlan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $224 | $224 | $48 | 21% | — | $176 – $272 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | $48 | 21% | — | $176 – $272 |
| 3 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 5 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 6 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 13 | Cleveland Clinic Mercy Hospital Canton, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 16 | Fairview Hospital Cleveland, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 17 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 18 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 19 | HCA FLORIDA LAKE MONROE HOSPITAL MOUNT DORA, FL percent of total billed charges · outpatientfrom % of charges | 4 | $541 | $536 | $29 | 5% | — | $498 – $564 |
| 20 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 21 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 22 | LUTHERAN HOSPITAL Cleveland, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 23 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 24 | MEDINA HOSPITAL Medina, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 25 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 2 | $2.9k | $2.9k | $182 | 6% | — | $2.7k – $3.1k |
← Payers reporting HCPCS Q9953 · Snapshot 20261112T181611Z-3fa9fb76