Oral MRI contrast agent, 100 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

Q9954

MultiPlan pricing summary

Low

Average

$109

Median

$92

High

$881

MultiPlan rate distribution

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72 hospital rates

#		Plans
1	CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges	3	$15	$14	$2	10%	—	$12 – $16
2	Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges	1	$10	$10	—	—	—	$10 – $10
3	Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges	1	$10	$10	—	—	—	$10 – $10
4	DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · inpatient	1	$105	$105	—	—	—	$105 – $105
5	DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient	1	$105	$105	—	—	—	$105 – $105
6	DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient	1	$117	$117	—	—	—	$117 – $117
7	DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient	1	$117	$117	—	—	—	$117 – $117
8	DIGNITY HEALTH Carmichael, CA fee schedule · inpatient	1	$105	$105	—	—	—	$105 – $105
9	DIGNITY HEALTH Carmichael, CA fee schedule · outpatient	1	$105	$105	—	—	—	$105 – $105
10	DIGNITY HEALTH Folsom, CA fee schedule · inpatient	1	$104	$104	—	—	—	$104 – $104
11	DIGNITY HEALTH Folsom, CA fee schedule · outpatient	1	$104	$104	—	—	—	$104 – $104
12	DIGNITY HEALTH Sacramento, CA fee schedule · inpatient	1	$102	$102	—	—	—	$102 – $102
13	DIGNITY HEALTH Sacramento, CA fee schedule · outpatient	1	$102	$102	—	—	—	$102 – $102
14	ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · inpatient	1	$159	$159	—	—	—	$159 – $159
15	ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient	1	$159	$159	—	—	—	$159 – $159
16	East Alabama Medical Center OPELIKA, AL facility · percent of total billed charges · outpatientfrom % of charges	1	$2	$2	—	—	—	$2 – $2
17	FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · inpatient	1	$133	$133	—	—	—	$133 – $133
18	FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient	1	$133	$133	—	—	—	$133 – $133
19	FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · inpatient	1	$133	$133	—	—	—	$133 – $133
20	FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient	1	$133	$133	—	—	—	$133 – $133
21	Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · inpatientfrom % of charges	1	$10	$10	—	—	—	$10 – $10
22	Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges	1	$10	$10	—	—	—	$10 – $10
23	Geisinger Community Medical Center Scranton, PA percent of total billed charges · inpatientfrom % of charges	1	$13	$13	—	—	—	$13 – $13
24	Geisinger Community Medical Center Scranton, PA percent of total billed charges · outpatientfrom % of charges	1	$13	$13	—	—	—	$13 – $13
25	Geisinger Jersey Shore Hospital Jersey Shore, PA percent of total billed charges · inpatientfrom % of charges	1	$10	$10	—	—	—	$10 – $10