Iodinated contrast agent, 400 mg/mL injection 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

ETHIODIZED OIL 480 MG IODINE/ML INJECTION OIL [124968]

Arlington, TX

See all hospitals reporting HCPCS Q9964 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $703 is 130167% above the median hospital's median price ($1), higher than 98% of the 631 hospitals reporting HCPCS Q9964. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9964 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	$1	$1	—	—	—	$1 – $1
2	Blue Cross Blue Shield exchange fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
3	Blue Cross Blue Shield ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
4	Blue Cross Blue Shield traditional fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
5	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
6	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
7	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
9	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
10	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$440	$440	—	—	—	$440 – $440
11	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$530	$530	—	—	—	$530 – $530
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$587	$587	—	—	—	$587 – $587
13	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$658	$658	—	—	—	$658 – $658
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$697	$697	—	—	—	$697 – $697
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$703	$703	—	—	—	$703 – $703
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$707	$707	—	—	—	$707 – $707
17	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$884	$884	—	—	—	$884 – $884
18	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$887	$887	—	—	—	$887 – $887
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$892	$892	—	—	—	$892 – $892
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$892	$892	—	—	—	$892 – $892
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$948	$948	—	—	—	$948 – $948
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: Apr 21, 2026

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