Indocyanine green injection, 25 mg at Aurora Medical Center Summit

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ISOSULFAN BLUE 1 % SC SOLN

Summit, WI

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Pricing by billing methodology

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How this price compares nationally

Aurora Medical Center Summit’s median price of $77 is 169% above the median hospital's median price ($29), higher than 58% of the 2,046 hospitals reporting HCPCS Q9968. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9968 at Aurora Medical Center Summit

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	Aetna hmo fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
2	Cigna ppo-gppo fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	UnitedHealthcare charter fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
4	UnitedHealthcare exchange fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
5	UnitedHealthcare hmo fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
6	UnitedHealthcare nexus fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
7	Anthem blue priority percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
8	Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
9	Molina commercial percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
10	Anthem blue preferred percent of total billed charges · outpatientfrom % of charges	$83	$83	—	—	—	$83 – $83
11	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
12	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
13	Healthpartners robin percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$108	$108	—	—	1–10	$108 – $108
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109

Last updated: Nov 21, 2025

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