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>= 400mg/ml iodine, 1ml
Low
$0
Average
$496
Median
$78
High
$4.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
38 payers; the 90th percentile is 2134.4× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna fee schedule · outpatient · +11 other terms | 184 | $1 | $46 | $453 | 992% | — | $0 – $5.5k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +11 other terms | 134 | $1 | $12 | $258 | 2133% | — | $0 – $6.0k |
| 3 | Aetna fee schedule · outpatient · +14 other terms | 76 | $1 | $4 | $19 | 429% | — | $0 – $100 |
| 4 | Humana fee schedule · outpatient · +10 other terms | 70 | $1 | $2 | $1 | 62% | — | $0 – $5 |
| 5 | Anthem fee schedule · outpatient · +8 other terms | 45 | $0 | $849 | $2.3k | 273% | — | $0 – $8.0k |
| 6 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $1 | $1 | $0 | 33% | — | $1 – $2 |
| 7 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 29 | $1 | $1.6k | $3.0k | 189% | — | $0 – $8.0k |
| 8 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $23 | $25 | $6 | 23% | — | $15 – $39 |
| 9 | Molina facility · case rate · outpatient · +5 other terms | 15 | $23 | $25 | $6 | 23% | — | $16 – $38 |
| 10 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $0 | $0 | $0 | 49% | — | $0 – $1 |
| 11 | Bcbs Nj fee schedule · outpatient | 12 | $0 | $0 | $0 | 37% | — | $0 – $1 |
| 12 | MultiPlan fee schedule · outpatient · +6 other terms | 12 | $6.2k | $4.7k | $2.3k | 50% | — | $5 – $7.4k |
| 13 | Optum facility · case rate · outpatient · +5 other terms | 11 | $21 | $23 | $5 | 22% | — | $19 – $35 |
| 14 | Medica fee schedule · outpatient · +8 other terms | 10 | $1 | $1 | $0 | 25% | — | $0 – $1 |
| 15 | Ucare fee schedule · both · +3 other terms | 9 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 16 | First Health fee schedule · inpatient · +8 other terms | 8 | $6.0k | $5.7k | $1.3k | 22% | — | $2.6k – $7.2k |
| 17 | Kaiser fee schedule · outpatient · +2 other terms | 8 | $4.2k | $3.6k | $2.1k | 59% | — | $0 – $6.3k |
| 18 | Sanford Health Plan percent of total billed charges · inpatientfrom % of charges · +3 other terms | 8 | $156 | $156 | $4 | 3% | — | $148 – $161 |
| 19 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Phcs percent of total billed charges · inpatientfrom % of charges · +3 other terms | 6 | $948 | $948 | — | — | — | $948 – $948 |
| 22 | WellCare percent of total billed charges · outpatientfrom % of charges | 6 | $135 | $132 | $8 | 6% | — | $119 – $144 |
| 23 | Highmark fee schedule · outpatient · +2 other terms | 3 | $0 | $0 | $0 | 6% | — | $0 – $0 |
| 24 | Bcbs Id facility · fee schedule · outpatient | 2 | $0 | $0 | $0 | 69% | — | $0 – $1 |
| 25 | Bcbs Vt professional · fee schedule · outpatient | 2 | $1 | $1 | $0 | 28% | — | $0 – $1 |
← Hospitals reporting HCPCS Q9964 · Snapshot 20261112T181611Z-3fa9fb76