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
OMNIPAQUE 180 MG IODINE/ML INTRATHECAL SOLUTION
Normal, IL
See all hospitals reporting HCPCS Q9965 →Price type
Carle BroMenn Medical Center’s median price of $3 is 10% above the median hospital's median price ($3), higher than 54% of the 1,553 hospitals reporting HCPCS Q9965. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $1 | $21 | $28 | 134% | — | $1 – $60 |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1 | $21 | $28 | 134% | — | $1 – $60 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $1 | $21 | $28 | 134% | — | $1 – $60 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $1 | $21 | $28 | 134% | — | $1 – $60 |
| 9 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $3 | $63 | $85 | 135% | 3–30 | $3 – $183 |
| 10 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $3 | $63 | $85 | 135% | — | $3 – $184 |
| 11 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $3 | $64 | $86 | 135% | — | $3 – $185 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $3 | $64 | $86 | 135% | — | $3 – $185 |
| 13 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $3 | $68 | $91 | 135% | — | $3 – $197 |
| 14 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $3 | $68 | $91 | 135% | — | $3 – $197 |
| 15 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $4 | $77 | $104 | 135% | — | $4 – $223 |
Last updated: Apr 15, 2026
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.