Iodinated contrast dye, per milliliter at BSA Hospital

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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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION

Amarillo, TX

See all hospitals reporting HCPCS Q9958 →

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Pricing by billing methodology

Price type

How this price compares nationally

BSA Hospital’s median price of $331 is 71891% above the median hospital's median price ($0), higher than 97% of the 1,726 hospitals reporting HCPCS Q9958. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9958 at BSA Hospital

Negotiated rates from the hospital’s own file: 9 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	Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$49	$49	—	—	—	$49 – $49
2	Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges	$49	$49	—	—	—	$49 – $49
3	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$205	$205	—	—	—	$205 – $205
4	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$205	$205	—	—	—	$205 – $205
5	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$205	$205	—	—	—	$205 – $205
6	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$205	$205	—	—	—	$205 – $205
7	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$205	$205	—	—	—	$205 – $205
8	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$205	$205	—	—	—	$205 – $205
9	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$205	$205	—	—	—	$205 – $205
10	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$224	$224	—	—	—	$224 – $224
11	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$321	$321	—	—	—	$321 – $321
12	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$321	$321	—	—	—	$321 – $321
13	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$341	$341	—	—	—	$341 – $341
14	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$367	$367	—	—	—	$367 – $367
15	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$367	$367	—	—	—	$367 – $367
16	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$367	$367	—	—	—	$367 – $367
17	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$381	$381	—	—	—	$381 – $381
18	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$393	$393	—	—	—	$393 – $393
19	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$393	$393	—	—	—	$393 – $393
20	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$446	$446	—	—	—	$446 – $446
21	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$446	$446	—	—	—	$446 – $446

Last updated: Feb 12, 2026

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