Low-osmolar contrast dye, 1 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

IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION

Amarillo, TX

See all hospitals reporting HCPCS Q9966 →

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Pricing by billing methodology

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How this price compares nationally

BSA Hospital’s median price of $328 is 6511% above the median hospital's median price ($5), higher than 96% of the 2,049 hospitals reporting HCPCS Q9966. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9966 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	$57	$59	$16	28%	—	$41 – $79
2	Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges	$57	$59	$16	28%	—	$41 – $79
3	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$239	$247	$68	28%	—	$171 – $328
4	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$239	$247	$68	28%	—	$171 – $328
5	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$239	$247	$68	28%	—	$171 – $328
6	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$239	$247	$68	28%	—	$171 – $328
7	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$239	$247	$68	28%	—	$171 – $328
8	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$239	$247	$68	28%	—	$171 – $328
9	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$239	$247	$68	28%	—	$171 – $328
10	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$263	$271	$75	28%	—	$187 – $360
11	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$376	$389	$107	28%	—	$268 – $516
12	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$376	$389	$107	28%	—	$268 – $516
13	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$399	$412	$114	28%	—	$284 – $547
14	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$430	$444	$122	28%	—	$306 – $589
15	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$430	$444	$122	28%	—	$306 – $589
16	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$430	$444	$122	28%	—	$306 – $589
17	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$446	$461	$127	28%	16–34	$318 – $612
18	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$460	$476	$131	28%	—	$328 – $631
19	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$460	$476	$131	28%	—	$328 – $631
20	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$522	$539	$149	28%	—	$372 – $715
21	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$522	$539	$149	28%	—	$372 – $715

Last updated: Feb 12, 2026

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