Low-osmolar contrast dye, 100-199 iodine, per mL

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

IOHEXOL 140 MG IODINE/ML INTRAVENOUS SOLUTION

Tricare pricing summary

Low

Average

$395

Median

$84

High

$8.3k

Tricare rate distribution

Filter by billing methodology

Filter by billing class

42 hospital rates

#		Plans
1	Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges	4	$65	$68	$47	69%	111–120	$23 – $164
2	Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient	1	$31	$67	$73	109%	—	$14 – $192
3	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$973	$973	—	—	—	$973 – $973
4	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$129	$129	$122	94%	—	$7 – $252
5	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$973	$973	—	—	—	$973 – $973
6	Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
7	Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges	1	$109	$109	—	—	—	$109 – $109
8	Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges	1	$92	$92	—	—	—	$92 – $92
9	Hackettstown Medical Center Hackettstown, NJ other · outpatient	2	$757	$757	—	—	—	$757 – $757
10	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$164	$138	$44	32%	—	$76 – $174
11	Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2
12	McLeod Health Dillon, SC fee schedule · both	1	$2	$2	—	—	—	$2 – $2
13	McLeod Health Cheraw, SC fee schedule · both	1	$2	$2	—	—	—	$2 – $2
14	McLeod Health Manning, SC fee schedule · both	1	$2	$2	—	—	—	$2 – $2
15	McLeod Health Florence, SC fee schedule · both	1	$2	$2	—	—	—	$2 – $2
16	McLeod Health Beach, SC fee schedule · both	1	$2	$2	—	—	—	$2 – $2
17	McLeod Health Loris, SC fee schedule · both	1	$2	$2	—	—	—	$2 – $2
18	McLeod Health River, SC fee schedule · both	1	$2	$2	—	—	—	$2 – $2
19	Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$72	$72	—	—	—	$72 – $72
20	Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges	1	$54	$54	—	—	—	$54 – $54
21	Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient	1	$6	$14	$14	100%	—	$2 – $34
22	Morristown Medical Center Morristown, NJ other · outpatient	2	$8.3k	$8.3k	—	—	—	$8.3k – $8.3k
23	Newton Medical Center Newton, NJ other · outpatient	2	$973	$973	—	—	—	$973 – $973
24	North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient	1	$135	$135	$7	6%	—	$127 – $142
25	North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1