Indocyanine green injection, 25 mg 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

METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLN WRAPPER [301274]

Arlington, TX

See all hospitals reporting HCPCS Q9968 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $55 is 93% above the median hospital's median price ($29), higher than 55% of the 2,049 hospitals reporting HCPCS Q9968. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9968 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 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	$2	$2	—	—	—	$2 – $2
2	Blue Cross Blue Shield exchange fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
3	Blue Cross Blue Shield ppo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
4	Blue Cross Blue Shield medicare advantage case rate · outpatient	$9	$9	—	—	—	$9 – $9
5	Humana medicare advantage case rate · outpatient	$9	$9	—	—	—	$9 – $9
6	Humana medicare advantage ppo case rate · outpatient	$9	$9	—	—	—	$9 – $9
7	Molina medicare advantage case rate · outpatient	$9	$9	—	—	—	$9 – $9
8	WellCare medicare advantage hmo case rate · outpatient	$9	$9	—	—	—	$9 – $9
9	WellCare medicare advantage mmp case rate · outpatient	$10	$10	—	—	—	$10 – $10
10	UnitedHealthcare medicare advantage ppo case rate · outpatient	$10	$10	—	—	—	$10 – $10
11	UnitedHealthcare medicare advantage hmo case rate · outpatient	$10	$10	—	—	—	$10 – $10
12	Blue Cross Blue Shield traditional fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
13	UnitedHealthcare all payer fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
14	UnitedHealthcare ppo fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
15	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$33	$39	$27	71%	—	$7 – $83
16	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$33	$39	$27	71%	—	$7 – $83
17	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$34	$41	$29	71%	—	$7 – $88
18	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$35	$42	$30	71%	—	$7 – $90
19	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$36	$43	$30	71%	—	$7 – $92
20	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$127	$150	$107	71%	—	$26 – $324
21	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$151	$178	$127	71%	—	$31 – $385
22	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$169	$200	$142	71%	—	$35 – $432
23	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$201	$238	$169	71%	—	$42 – $513
24	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$203	$240	$170	71%	—	$42 – $518
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$255	$302	$214	71%	—	$53 – $652

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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