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
Isovue-M 200
Low
$0
Average
$394
Median
$84
High
$4.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
47 payers; the 90th percentile is 2629.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna fee schedule · outpatient · +14 other terms | 176 | $1 | $1 | $4 | 359% | — | $0 – $79 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 152 | $0 | $1 | $5 | 575% | — | $0 – $89 |
| 3 | Aetna fee schedule · outpatient · +17 other terms | 72 | $0 | $1 | $4 | 557% | — | $0 – $46 |
| 4 | Humana fee schedule · outpatient · +14 other terms | 71 | $1 | $2 | $5 | 258% | — | $0 – $46 |
| 5 | Anthem fee schedule · outpatient · +13 other terms | 38 | $0 | $0 | $0 | 271% | — | $0 – $1 |
| 6 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $1 | $0 | $0 | 34% | — | $0 – $1 |
| 7 | UnitedHealthcare fee schedule · both · +19 other terms | 27 | $0 | $0 | $0 | 19% | — | $0 – $0 |
| 8 | Caresource facility · case rate · outpatient · +5 other terms | 15 | $23 | $25 | $6 | 23% | — | $15 – $39 |
| 9 | Molina facility · case rate · outpatient · +9 other terms | 15 | $23 | $25 | $6 | 23% | — | $16 – $38 |
| 10 | Highmark fee schedule · outpatient · +8 other terms | 13 | $0 | $0 | $0 | 13% | — | $0 – $0 |
| 11 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $0 | $0 | $0 | 77% | — | $0 – $1 |
| 12 | Bcbs Nj fee schedule · outpatient · +1 other terms | 12 | $0 | $0 | $0 | 37% | — | $0 – $1 |
| 13 | Optum facility · case rate · outpatient · +9 other terms | 11 | $21 | $23 | $5 | 22% | — | $19 – $35 |
| 14 | Medica fee schedule · outpatient · +10 other terms | 10 | $0 | $0 | $0 | 24% | — | $0 – $0 |
| 15 | Phcs percent of total billed charges · outpatientfrom % of charges · +3 other terms | 10 | $165 | $158 | $173 | 110% | — | $0 – $656 |
| 16 | Ucare fee schedule · both · +5 other terms | 9 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Bcbs La fee schedule · outpatient · +2 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | WellCare facility · per diem · inpatient · +3 other terms | 5 | $5.8k | $5.5k | $1.1k | 20% | — | $3.6k – $6.9k |
| 19 | First Health facility · fee schedule · outpatient · +9 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Healthpartners facility · other · outpatient · +2 other terms | 4 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Kaiser facility · per diem · inpatient · +7 other terms | 4 | $5.2k | $5.0k | $1.1k | 22% | — | $3.3k – $6.3k |
| 22 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $20 | $71 | $73 | 102% | — | $20 – $174 |
| 23 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $0 | $0 | $0 | 6% | — | $0 – $0 |
| 24 | MultiPlan fee schedule · outpatient · +7 other terms | 3 | $2 | $3 | $1 | 46% | — | $2 – $5 |
| 25 | Bcbs Id facility · fee schedule · outpatient | 2 | $0 | $0 | $0 | 68% | — | $0 – $0 |
← Hospitals reporting HCPCS Q9960 · Snapshot 20261111T120946Z-9134e7f7