Low-osmolar contrast dye, 1 mL 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IOVERSOL 240 MG IODINE/ML INTRAVENOUS SOLN [15728]

Arlington, TX

See all hospitals reporting HCPCS Q9966 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $256 is 5129% above the median hospital's median price ($5), higher than 94% of the 2,032 hospitals reporting HCPCS Q9966. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9966 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	$45	$43	$11	25%	—	$27 – $60
6	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$45	$43	$11	25%	—	$27 – $60
7	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$47	$46	$11	25%	—	$29 – $63
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$48	$47	$12	25%	—	$29 – $65
9	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$49	$48	$12	25%	—	$30 – $66
10	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$173	$168	$42	25%	—	$105 – $233
11	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$208	$203	$50	25%	—	$127 – $281
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$231	$225	$56	25%	—	$141 – $311
13	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$259	$252	$63	25%	—	$158 – $349
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$274	$267	$66	25%	—	$167 – $370
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$276	$269	$67	25%	—	$169 – $373
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$278	$271	$67	25%	—	$169 – $375
17	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$348	$338	$84	25%	—	$212 – $469
18	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$349	$339	$84	25%	—	$213 – $470
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$351	$341	$85	25%	—	$214 – $473
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$351	$341	$85	25%	—	$214 – $473
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$373	$363	$90	25%	—	$227 – $503
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$435	$424	$105	25%	—	$265 – $587
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$435	$424	$105	25%	—	$265 – $587
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$471	$458	$114	25%	—	$287 – $635
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$471	$458	$114	25%	—	$287 – $635

Last updated: Apr 21, 2026

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