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
LOW OSMOLAR CONTRAST MATERIAL, 300-399 MG/ML IODINE CONCENTRATION, PER ML
Clearlake, CA
See all hospitals reporting HCPCS Q9967 →Price type
Adventist Health Clearlake Hospital Inc’s median price of $5 is 48% below the median hospital's median price ($10), higher than 47% of the 2,272 hospitals reporting HCPCS Q9967. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $0.41 | $0.41 | $0.41 – $0.41 |
| 2 | UnitedHealthcare uhc jll fee schedule · outpatient | $0.41 | $0.41 | $0.41 – $0.41 |
| 3 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $0.83 | $0.83 | $0.83 – $0.83 |
| 4 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $0.92 | $0.92 | $0.92 – $0.92 |
| 5 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $1.10 | $1.10 | $1.10 – $1.10 |
| 6 | Blue Cross Blue Shield blue shield mcr adv percent of total billed charges · outpatientfrom % of charges | $1.56 | $1.49 | $1.34 – $1.56 |
| 7 | Blue Cross Blue Shield tricare blue shield- all plans percent of total billed charges · outpatientfrom % of charges | $1.56 | $1.49 | $1.34 – $1.56 |
| 8 | Kaiser kaiser mcr adv percent of total billed charges · outpatientfrom % of charges | $1.56 | $1.49 | $1.34 – $1.56 |
| 9 | Blue Cross Blue Shield blue cross mcr adv percent of total billed charges · outpatientfrom % of charges | $1.62 | $1.54 | $1.39 – $1.62 |
| 10 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $1.71 | $1.63 | $1.47 – $1.71 |
| 11 | Aetna aetna- all plans percent of total billed charges · outpatientfrom % of charges | $5.54 | $5.28 | $4.75 – $5.54 |
| 12 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $5.69 | $5.42 | $4.88 – $5.70 |
| 13 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $5.69 | $5.42 | $4.88 – $5.70 |
| 14 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $5.93 | $5.65 | $5.09 – $5.93 |
| 15 | Humana humana- all plans percent of total billed charges · outpatientfrom % of charges | $6.30 | $6.00 | $5.41 – $6.30 |
| 16 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $6.30 | $6.00 | $5.41 – $6.30 |
| 17 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $6.67 | $6.36 | $5.72 – $6.68 |
| 18 | Kaiser kaiser- all other plans percent of total billed charges · outpatientfrom % of charges | $6.67 | $6.36 | $5.72 – $6.68 |
| 19 | Medicaid medi-cal fee schedule · outpatient | $7.41 | $7.06 | $6.36 – $7.42 |
Last updated: Jul 29, 2026
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