High-osmolar iodine 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

IOTHALAMATE MEGLUMINE 60 % INJ SOLN

Payers reporting HCPCS Q9961

Payer pricing summary

Low

Average

$70

Median

$22

High

$1.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	396	$0	$2	$10	404%	—	$0 – $98
2	Cigna fee schedule · outpatient · +18 other terms	285	$1	$4	$14	312%	—	$0 – $129
3	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	210	$1	$3	$24	883%	—	$0 – $626
4	Humana fee schedule · outpatient · +16 other terms	162	$0	$10	$18	174%	—	$0 – $73
5	Aetna fee schedule · outpatient · +18 other terms	146	$1	$8	$19	220%	—	$0 – $100
6	Anthem fee schedule · outpatient · +17 other terms	70	$0	$1	$2	285%	—	$0 – $24
7	Kaiser fee schedule · both · +15 other terms	42	$0	$0	$0	116%	—	$0 – $8
8	MultiPlan fee schedule · outpatient · +11 other terms	42	$56	$56	$39	69%	—	$0 – $180
9	Caresource fee schedule · outpatient · +11 other terms	35	$0	$0	$0	24%	—	$0 – $0
10	Molina fee schedule · outpatient · +15 other terms	33	$1	$0	$0	79%	—	$0 – $2
11	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$1	$1	$0	33%	—	$0 – $2
12	Medica fee schedule · outpatient · +14 other terms	27	$1	$12	$29	238%	—	$0 – $96
13	Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms	21	$35	$41	$23	55%	—	$11 – $122
14	Highmark facility · fee schedule · outpatient · +7 other terms	20	$0	$1	$0	62%	—	$0 – $2
15	Regence professional · fee schedule · outpatient · +9 other terms	20	$0	$0	$0	27%	—	$0 – $0
16	First Health fee schedule · inpatient · +12 other terms	18	$49	$53	$31	58%	—	$1 – $156
17	Healthpartners fee schedule · outpatient · +8 other terms	18	$0	$0	$0	3%	—	$0 – $0
18	Beechstreet percent of total billed charges · outpatientfrom % of charges · +2 other terms	17	$50	$44	$17	39%	—	$0 – $68
19	Optum professional · fee schedule · outpatient · +15 other terms	17	$0	$0	$0	7%	—	$0 – $0
20	Phcs fee schedule · inpatient · +8 other terms	16	$71	$59	$16	28%	—	$45 – $98
21	Ucare professional · fee schedule · outpatient · +7 other terms	14	$0	$0	$0	4%	—	$0 – $0
22	WellCare professional · fee schedule · outpatient · +10 other terms	14	$0	$0	$0	8%	—	$0 – $0
23	Wellmark fee schedule · both · +6 other terms	14	$0	$0	$0	10%	—	$0 – $1
24	Medical Mutual facility · fee schedule · outpatient · +7 other terms	13	$1	$1	$0	27%	—	$0 – $1
25	Ambetter fee schedule · both · +10 other terms	12	$58	$45	$20	44%	—	$13 – $64

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