Low-osmolar contrast dye, 100-199 iodine, per mL 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.

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

IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION

Amarillo, TX

See all hospitals reporting HCPCS Q9965 →

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Pricing by billing methodology

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How this price compares nationally

BSA Hospital’s median price of $266 is 9378% above the median hospital's median price ($3), higher than 97% of the 1,546 hospitals reporting HCPCS Q9965. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9965 at BSA Hospital

Negotiated rates from the hospital’s own file: 8 payers, 16 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 aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
2	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
3	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
4	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
5	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
6	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
7	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
8	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$247	$247	—	—	—	$247 – $247
9	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$266	$266	—	—	—	$266 – $266
10	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$266	$266	—	—	—	$266 – $266
11	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$266	$266	—	—	—	$266 – $266
12	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$277	$277	—	—	—	$277 – $277
13	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$285	$285	—	—	—	$285 – $285
14	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$285	$285	—	—	—	$285 – $285
15	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$323	$323	—	—	—	$323 – $323
16	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$323	$323	—	—	—	$323 – $323

Last updated: Feb 12, 2026

Compare to other hospitals

See Low-osmolar contrast dye, 100-199 iodine, per mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.