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
OMNIPAQUE 350 MG-ML IV SOLN
Burlington, WI
See all hospitals reporting HCPCS Q9967 →Price type
Aurora Medical Center Burlington’s median price of $1 is 93% below the median hospital's median price ($11), higher than 29% of the 2,274 hospitals reporting HCPCS Q9967. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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 | Anthem blue priority fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 2 | Aetna hmo fee schedule · outpatient | $0.15 | $0.15 | $0.15 – $0.15 |
| 3 | Anthem blue preferred fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 4 | Healthpartners employee trust fund fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 5 | Healthpartners robin fee schedule · outpatient | $0.18 | $0.18 | $0.18 – $0.18 |
| 6 | Cigna ppo-gppo fee schedule · outpatient | $0.21 | $0.21 | $0.21 – $0.21 |
| 7 | Molina commercial fee schedule · outpatient | $0.35 | $0.35 | $0.35 – $0.35 |
| 8 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $0.90 | $1.01 | $0.62 – $1.80 |
| 9 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $0.90 | $1.01 | $0.62 – $1.80 |
| 10 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $0.90 | $1.01 | $0.62 – $1.80 |
| 11 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $0.90 | $1.01 | $0.62 – $1.80 |
| 12 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $1.14 | $1.27 | $0.78 – $2.27 |
| 13 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $1.14 | $1.27 | $0.78 – $2.27 |
| 14 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.26 | $1.40 | $0.86 – $2.50 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.26 | $1.40 | $0.86 – $2.50 |
| 16 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $1.29 | $1.43 | $0.88 – $2.56 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.29 | $1.43 | $0.88 – $2.56 |
| 18 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $1.28 | $1.43 | $0.88 – $2.55 |
| 19 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.28 | $1.43 | $0.88 – $2.55 |
| 20 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $1.29 | $1.44 | $0.88 – $2.58 |
| 21 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $1.29 | $1.44 | $0.88 – $2.58 |
Last updated: Nov 21, 2025
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