Iodinated contrast dye, per milliliter at AMH Cath Labs 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLN [4790]

Arlington, TX

See all hospitals reporting HCPCS Q9958 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $692 is 150226% above the median hospital's median price ($0), higher than 98% of the 1,715 hospitals reporting HCPCS Q9958. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9958 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 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	Blue Cross Blue Shield hmo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Blue Cross Blue Shield exchange fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Blue Cross Blue Shield ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Blue Cross Blue Shield traditional fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
5	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$111	$111	$18	16%	—	$89 – $134
6	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$111	$111	$18	16%	—	$89 – $134
7	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$117	$117	$19	16%	—	$94 – $140
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$120	$120	$20	16%	—	$96 – $144
9	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$122	$122	$20	16%	—	$98 – $147
10	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$432	$432	$71	16%	—	$346 – $519
11	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$521	$521	$85	16%	—	$417 – $625
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$576	$576	$94	16%	—	$461 – $692
13	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$647	$647	$106	16%	—	$517 – $776
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$685	$685	$112	16%	—	$548 – $822
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$691	$691	$113	16%	—	$553 – $829
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$694	$694	$113	16%	—	$556 – $833
17	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$869	$869	$142	16%	—	$695 – $1.0k
18	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$871	$871	$142	16%	—	$697 – $1.0k
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$876	$876	$143	16%	—	$701 – $1.1k
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$876	$876	$143	16%	—	$701 – $1.1k
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$931	$931	$152	16%	—	$745 – $1.1k
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	$178	16%	—	$870 – $1.3k
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$178	16%	—	$870 – $1.3k
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	$192	16%	—	$941 – $1.4k
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$192	16%	—	$941 – $1.4k

Last updated: Apr 21, 2026

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