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
HOCM 150-199mg/ml iodine,1ml
Low
$0
Average
$13
Median
$13
High
$76
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 86.9× 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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32 hospital rates
iThe hospitals that file a Cigna 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 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Fort Duncan Medical Center LP Eagle Pass, TX percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 3 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges | 3 | $0 | $0 | $0 | 9% | — | $0 – $0 |
| 4 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $13 | $2 | 15% | — | $8 – $14 |
| 5 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 7 | $12 | $12 | $1 | 6% | — | $10 – $12 |
| 6 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 7 | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 7 | $18 | $18 | $2 | 12% | — | $13 – $18 |
| 8 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 6 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $14 | $2 | 11% | — | $10 – $15 |
| 10 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 7 | $17 | $16 | $2 | 13% | — | $11 – $17 |
| 11 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $14 | $2 | 11% | — | $10 – $15 |
| 12 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 6 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 7 | $8 | $11 | $4 | 33% | — | $8 – $17 |
| 14 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $14 | $2 | 11% | — | $10 – $15 |
| 15 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 6 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Meriter Hospital, Inc Madison, WI percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Northwest Texas Healthcare System Amarillo, TX percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | Northwest Texas Healthcare System, Inc. Amarillo, TX percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 22 | Northwest Texas Healthcare System, Inc. Amarillo, TX percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 23 | St. Mary's Regional Medical Center Enid, OK percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 24 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · inpatientfrom % of charges | 3 | $3 | $3 | $0 | 5% | — | $3 – $3 |
| 25 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $3 | $3 | $0 | 5% | — | $3 – $3 |
← Payers reporting HCPCS Q9959 · Snapshot 20261112T181611Z-3fa9fb76