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
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION REPACK
Amarillo, TX
See all hospitals reporting HCPCS Q9968 →Price type
BSA Hospital’s median price of $865 is 2922% above the median hospital's median price ($29), higher than 92% of the 2,049 hospitals reporting HCPCS Q9968. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $158 | $158 | $50 | 32% | — | $108 – $208 |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $158 | $158 | $50 | 32% | — | $108 – $208 |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $659 | $659 | $209 | 32% | — | $450 – $868 |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $659 | $659 | $209 | 32% | — | $450 – $868 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $659 | $659 | $209 | 32% | — | $450 – $868 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $659 | $659 | $209 | 32% | — | $450 – $868 |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $659 | $659 | $209 | 32% | — | $450 – $868 |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $659 | $659 | $209 | 32% | — | $450 – $868 |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $659 | $659 | $209 | 32% | — | $450 – $868 |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $723 | $723 | $230 | 32% | — | $494 – $953 |
| 11 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | $329 | 32% | — | $707 – $1.4k |
| 12 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | $329 | 32% | — | $707 – $1.4k |
| 13 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | $349 | 32% | 1–10 | $750 – $1.4k |
| 14 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $376 | 32% | — | $807 – $1.6k |
| 15 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $376 | 32% | — | $807 – $1.6k |
| 16 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $376 | 32% | — | $807 – $1.6k |
| 17 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $390 | 32% | — | $839 – $1.6k |
| 18 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | $402 | 32% | — | $865 – $1.7k |
| 19 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | $402 | 32% | — | $865 – $1.7k |
| 20 | Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | $456 | 32% | — | $980 – $1.9k |
| 21 | MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | $456 | 32% | — | $980 – $1.9k |
Last updated: Feb 12, 2026
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