Indocyanine green injection, 25 mg at Affinity Hospital LLC

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

NON-RAD/CONT VIS 1MG

Birmingham, AL

See all hospitals reporting HCPCS Q9968 →

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How this price compares nationally

Affinity Hospital LLC’s median price of $367 is 1181% above the median hospital's median price ($29), higher than 77% of the 2,049 hospitals reporting HCPCS Q9968. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9968 at Affinity Hospital LLC

Negotiated rates from the hospital’s own file: 9 payers, 16 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	Cigna cigna all facility · fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
2	Humana node humana mcr adv facility · fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
3	Optum node united optum va ccn facility · fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
4	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$10	$10	—	—	—	$10 – $10
5	Clover node clover health mcr adv facility · fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
6	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
7	UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
8	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
9	Optum optum health facility · percent of total billed charges · outpatientfrom % of charges	$367	$367	—	—	—	$367 – $367
10	First Health first health facility · other · outpatient	$489	$489	—	—	—	$489 – $489
11	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$497	$497	—	—	—	$497 – $497
12	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$505	$505	—	—	—	$505 – $505
13	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$571	$571	—	—	—	$571 – $571
14	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$571	$571	—	—	—	$571 – $571
15	First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges	$637	$637	—	—	—	$637 – $637
16	Bcbs Al bcbs al all facility · other · outpatient	$815	$815	—	—	—	$815 – $815

Last updated: Apr 1, 2026

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