Iodinated contrast dye, per milliliter

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

DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLN

Payers reporting HCPCS Q9958

Payer pricing summary

Low

Average

$121

Median

$63

High

$1.5k

Payer rate distribution

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#
1	Florida Blue percent of total billed charges · bothfrom % of charges	1	$61	$61	$17	28%	3,000	$39 – $101
2	UnitedHealthcare fee schedule · outpatient · +28 other terms	473	$0	$55	$779	1429%	2,918–2,963	$0 – $22.8k
3	Cigna fee schedule · outpatient · +19 other terms	336	$0	$30	$321	1057%	1,250	$0 – $10.6k
4	Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms	27	$110	$150	$112	75%	28–280	$39 – $570
5	Bcbs Wy other · both · +1 other terms	1	$751	$751	—	—	1–10	$751 – $751
6	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	245	$0	$7	$30	438%	—	$0 – $405
7	Aetna fee schedule · outpatient · +22 other terms	163	$0	$27	$64	237%	—	$0 – $395
8	Humana fee schedule · outpatient · +19 other terms	163	$0	$17	$31	179%	—	$0 – $180
9	Anthem fee schedule · outpatient · +21 other terms	100	$0	$2	$15	613%	—	$0 – $168
10	MultiPlan fee schedule · inpatient · +18 other terms	66	$89	$120	$123	102%	—	$0 – $619
11	Caresource fee schedule · outpatient · +13 other terms	47	$0	$319	$192	60%	—	$0 – $435
12	Kaiser fee schedule · both · +18 other terms	45	$0	$0	$2	788%	—	$0 – $24
13	Molina fee schedule · outpatient · +18 other terms	41	$0	$10	$25	244%	—	$0 – $155
14	Medica fee schedule · outpatient · +16 other terms	38	$13	$10	$29	297%	—	$0 – $186
15	Highmark facility · fee schedule · outpatient · +14 other terms	34	$0	$0	$0	80%	—	$0 – $1
16	First Health fee schedule · outpatient · +14 other terms	29	$76	$106	$113	107%	—	$0 – $537
17	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$143	$127	$26	20%	—	$87 – $174
18	Bcbs Tx fee schedule · outpatient · +3 other terms	26	$0	$0	$0	32%	—	$0 – $1
19	Regence professional · fee schedule · outpatient · +13 other terms	21	$0	$0	—	—	—	$0 – $0
20	Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms	19	$154	$155	$52	33%	—	$0 – $304
21	Healthpartners fee schedule · outpatient · +11 other terms	19	$0	$0	—	—	—	$0 – $0
22	Phcs fee schedule · inpatient · +11 other terms	19	$83	$69	$31	45%	—	$1 – $98
23	Optum professional · fee schedule · outpatient · +14 other terms	18	$56	$45	$22	50%	—	$0 – $58
24	Bcbs La fee schedule · outpatient · +3 other terms	17	$0	$0	—	—	—	$0 – $0
25	Ambetter fee schedule · both · +10 other terms	15	$155	$120	$69	57%	—	$0 – $232

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