Low-osmolar contrast dye, 100-199 iodine, per mL at Commonspirit Kansas, Inc.

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

Ulysses, KS

See all hospitals reporting HCPCS Q9965 →

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How this price compares nationally

Commonspirit Kansas, Inc.’s median price of $85 is 2931% above the median hospital's median price ($3), higher than 85% 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 Commonspirit Kansas, Inc.

Negotiated rates from the hospital’s own file: 6 payers, 13 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	Bcbs Ks commercial ppo/hmo fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
2	Aetna managed medicare percent of total billed charges · outpatientfrom % of charges	$35	$35	$2	6%	—	$33 – $37
3	Humana managed medicare percent of total billed charges · outpatientfrom % of charges	$35	$35	$2	6%	—	$33 – $37
4	Medicare medicare percent of total billed charges · outpatientfrom % of charges	$35	$35	$2	6%	—	$33 – $37
5	UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges	$35	$35	$2	6%	—	$33 – $37
6	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$86	$86	$5	6%	—	$82 – $91
7	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$86	$86	$5	6%	—	$82 – $91
8	UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges	$90	$90	$5	6%	—	$85 – $95
9	UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges	$90	$90	$5	6%	—	$85 – $95
10	MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges	$97	$97	$5	6%	—	$92 – $103
11	MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges	$97	$97	$5	6%	—	$92 – $103
12	MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges	$101	$101	$6	6%	—	$95 – $106
13	MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges	$101	$101	$6	6%	—	$95 – $106

Last updated: Feb 3, 2026

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