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
Omnipaque 300mg/100ml inj vial
Tustin, CA
See all hospitals reporting HCPCS Q9967 →Price type
Alta Newport Hospital, LLC’s median price of $22 is 112% above the median hospital's median price ($11), higher than 56% of the 2,274 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: 7 payers, 18 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 | Aetna all gatekeeper plans facility · case rate · outpatient | $0.37 | $0.37 | $0.37 – $0.37 |
| 2 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $0.37 | $0.37 | $0.37 – $0.37 |
| 3 | Bcbs Ca covered california/ifp/ppo facility · percent of total billed charges · outpatientfrom % of charges | $14.41 | $19.64 | $0.10 – $64.99 |
| 4 | Bcbs Ca epo/ppo/out of state facility · percent of total billed charges · outpatientfrom % of charges | $14.41 | $19.64 | $0.10 – $64.99 |
| 5 | Bcbs Ca hmo facility · percent of total billed charges · outpatientfrom % of charges | $14.41 | $19.64 | $0.10 – $64.99 |
| 6 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $18.79 | $26.02 | $0.13 – $84.76 |
| 7 | Cigna hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $24.69 | $27.47 | $0.13 – $84.76 |
| 8 | UnitedHealthcare managed care facility · percent of total billed charges · inpatientfrom % of charges | $26.60 | $29.60 | $0.14 – $91.32 |
| 9 | Aetna exchange facility · percent of total billed charges · outpatientfrom % of charges | $22.28 | $30.61 | $0.15 – $100.50 |
| 10 | Aetna exchange facility · percent of total billed charges · inpatientfrom % of charges | $29.27 | $32.57 | $0.15 – $100.50 |
| 11 | Aetna all gatekeeper plans facility · percent of total billed charges · inpatientfrom % of charges | $38.22 | $42.53 | $0.20 – $131.22 |
| 12 | Aetna all non-gatekeeper plans facility · percent of total billed charges · inpatientfrom % of charges | $38.22 | $42.53 | $0.20 – $131.22 |
| 13 | Anthem commercial hmo-ppo/covered california facility · percent of total billed charges · outpatientfrom % of charges | $47.40 | $52.74 | $0.24 – $162.74 |
| 14 | Anthem ppg facility · percent of total billed charges · outpatientfrom % of charges | $59.26 | $65.93 | $0.30 – $203.45 |
| 15 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $53.47 | $72.90 | $0.36 – $241.20 |
| 16 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $53.47 | $72.90 | $0.36 – $241.20 |
| 17 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $63.86 | $87.08 | $0.43 – $288.10 |
| 18 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $63.86 | $87.08 | $0.43 – $288.10 |
Last updated: Mar 18, 2026
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