Indocyanine green injection, 25 mg at Carle BroMenn Medical Center

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

PROVAYBLUE 5 MG/ML INTRAVENOUS SOLUTION

Normal, IL

See all hospitals reporting HCPCS Q9968 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Carle BroMenn Medical Center’s median price of $11 is 62% below the median hospital's median price ($29), higher than 27% of the 2,066 hospitals reporting HCPCS Q9968. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9968 at Carle BroMenn Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 23 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	UnitedHealthcare va ccn/optum fee schedule · inpatient	$7	$7	—	—	—	$7 – $7
2	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$9	$9	—	—	—	$9 – $9
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$9	$9	—	—	—	$9 – $9
5	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$9	$9	—	—	—	$9 – $9
6	Aetna medicare advantage case rate · outpatient	$10	$10	—	—	—	$10 – $10
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$10	$10	—	—	—	$10 – $10
8	Humana medicare advantage case rate · outpatient	$10	$10	—	—	—	$10 – $10
9	Molina medicare-medicaid (d-snp) case rate · outpatient	$10	$10	—	—	—	$10 – $10
10	UnitedHealthcare medicare advantage case rate · outpatient	$10	$10	—	—	—	$10 – $10
11	UnitedHealthcare va ccn/optum case rate · outpatient	$10	$10	—	—	—	$10 – $10
12	WellCare medicare advantage hmo case rate · outpatient	$10	$10	—	—	—	$10 – $10
13	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$23	$196	$235	120%	—	$11 – $589
14	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$23	$196	$235	120%	—	$11 – $589
15	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$23	$196	$235	120%	—	$11 – $589
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$70	$603	$722	120%	—	$33 – $1.8k
17	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$70	$604	$723	120%	—	$33 – $1.8k
18	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$70	$606	$725	120%	—	$34 – $1.8k
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$70	$609	$729	120%	—	$34 – $1.8k
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$70	$609	$729	120%	—	$34 – $1.8k
21	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$75	$649	$777	120%	—	$36 – $1.9k
22	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$75	$649	$777	120%	—	$36 – $1.9k
23	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$85	$737	$881	120%	—	$41 – $2.2k

Last updated: Apr 15, 2026

Compare to other hospitals

See Indocyanine green injection, 25 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.