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
$9
Average
$1.6k
Median
$175
High
$6.9k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 267.9× 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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20 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Cottage Grove Community Medical Ct Cottage Grove, OR facility · per diem · inpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 3 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 4 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $260 | $260 | $173 | 67% | — | $87 – $433 |
| 5 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $308 | $308 | $205 | 67% | — | $103 – $514 |
| 6 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $221 | $147 | 67% | — | $74 – $367 |
| 7 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | $109 | 67% | — | $55 – $273 |
| 8 | Hoopeston Community Memorial Hospital Hoopeston, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 9 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $2 | 9% | — | $19 – $23 |
| 10 | Ketchikan Medial Center Ketchikan, AK facility · per diem · inpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 11 | Peace Harbor Medical Center Florence, OR facility · per diem · inpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 12 | PeaceHealth Peace Island Medical Center Friday Harbor, WA facility · per diem · inpatient | 1 | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 13 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · per diem · inpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 14 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $2 | 9% | — | $19 – $23 |
| 15 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 18 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | Texas Health Presbyterian Hospital Plano Plano, TX percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 20 | Wayne Memorial Hospital Goldsboro, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting HCPCS Q9960 · Snapshot 20261111T120946Z-9134e7f7