Iodinated contrast dye, per milliliter at Central Georgia Rehabilitation LLC

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

DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION

Macon, GA

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Pricing by billing methodology

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How this price compares nationally

Central Georgia Rehabilitation LLC’s median price of $88 is 19096% above the median hospital's median price ($0), higher than 81% of the 1,726 hospitals reporting HCPCS Q9958. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9958 at Central Georgia Rehabilitation LLC

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Cigna commercial fee schedule · both	$0	$0	—	—	—	$0 – $0
2	Anthem hmo/ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Humana hmo/pos fee schedule · both	$0	$0	—	—	—	$0 – $0
4	Humana ppo fee schedule · both	$0	$0	—	—	—	$0 – $0
5	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$39	$46	$13	28%	—	$37 – $69
6	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$67	$79	$22	28%	—	$64 – $117
7	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$78	$91	$26	28%	—	$74 – $135
8	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$78	$91	$26	28%	—	$74 – $135
9	Aetna pos percent of total billed charges · outpatientfrom % of charges	$86	$100	$28	28%	—	$81 – $149
10	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$86	$100	$28	28%	—	$81 – $149
11	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$86	$100	$28	28%	—	$81 – $149
12	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$86	$100	$28	28%	—	$81 – $149
13	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$86	$100	$28	28%	—	$81 – $149
14	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$87	$102	$29	28%	—	$82 – $151
15	Humana ppo percent of total billed charges · outpatientfrom % of charges	$90	$106	$30	28%	—	$86 – $158
16	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$91	$107	$30	28%	—	$86 – $158
17	MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges	$105	$124	$35	28%	—	$100 – $184
18	MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges	$105	$124	$35	28%	—	$100 – $184
19	Beechstreet commercial percent of total billed charges · inpatientfrom % of charges	$122	$144	$40	28%	—	$116 – $213
20	Beechstreet commercial percent of total billed charges · outpatientfrom % of charges	$122	$144	$40	28%	—	$116 – $213

Last updated: Nov 19, 2025

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