Low-osmolar contrast dye, 100-199 iodine, per mL 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

IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION

Macon, GA

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How this price compares nationally

Central Georgia Rehabilitation LLC’s median price of $39 is 1301% above the median hospital's median price ($3), higher than 78% of the 1,553 hospitals reporting HCPCS Q9965. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9965 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	Humana hmo/pos fee schedule · both	$1	$1	—	—	—	$1 – $1
2	Humana ppo fee schedule · both	$1	$1	—	—	—	$1 – $1
3	Cigna commercial fee schedule · both	$1	$1	—	—	—	$1 – $1
4	Anthem hmo/ppo fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
5	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$22	$19	$8	40%	—	$9 – $27
6	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$37	$33	$13	40%	—	$15 – $46
7	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$43	$38	$15	40%	—	$17 – $53
8	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$43	$38	$15	40%	—	$17 – $53
9	Aetna pos percent of total billed charges · outpatientfrom % of charges	$48	$42	$17	40%	—	$19 – $58
10	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$48	$42	$17	40%	—	$19 – $58
11	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$48	$42	$17	40%	—	$19 – $58
12	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$48	$42	$17	40%	—	$19 – $58
13	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$48	$42	$17	40%	—	$19 – $58
14	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$48	$42	$17	40%	—	$19 – $59
15	Humana ppo percent of total billed charges · outpatientfrom % of charges	$50	$44	$18	40%	—	$20 – $61
16	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$51	$44	$18	40%	—	$20 – $62
17	MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges	$59	$51	$20	40%	—	$23 – $72
18	MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges	$59	$51	$20	40%	—	$23 – $72
19	Beechstreet commercial percent of total billed charges · inpatientfrom % of charges	$68	$59	$24	40%	—	$27 – $83
20	Beechstreet commercial percent of total billed charges · outpatientfrom % of charges	$68	$59	$24	40%	—	$27 – $83

Last updated: Nov 19, 2025

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