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
IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLN [3067]
Arlington, TX
See all hospitals reporting HCPCS Q9965 →Price type
AMH Cath Labs LLC’s median price of $195 is 6835% above the median hospital's median price ($3), higher than 95% of the 1,546 hospitals reporting HCPCS Q9965. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $163 | $163 | — | — | — | $163 – $163 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $182 | $182 | — | — | — | $182 – $182 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $193 | $193 | — | — | — | $193 – $193 |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $196 | $196 | — | — | — | $196 – $196 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $246 | $246 | — | — | — | $246 – $246 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $263 | $263 | — | — | — | $263 – $263 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $332 | $332 | — | — | — | $332 – $332 |
Last updated: Apr 21, 2026
See Low-osmolar contrast dye, 100-199 iodine, per mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.