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
PR Locm 300-399mg/Ml Iodine 1ml
Waterloo, IA
See all hospitals reporting HCPCS Q9967 →Price type
Covenant Medical Center Inc’s median price of $356 is 3290% above the median hospital's median price ($11), higher than 94% of the 2,274 hospitals reporting HCPCS Q9967. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 25 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 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $55.21 | $99.03 | $6.52 – $279.17 |
| 2 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $70.63 | $126.68 | $8.34 – $357.13 |
| 3 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $70.63 | $126.68 | $8.34 – $357.13 |
| 4 | UnitedHealthcare united healthcare deere premier facility · percent of total billed charges · bothfrom % of charges | $92.51 | $165.94 | $10.93 – $467.79 |
| 5 | UnitedHealthcare uhc optum behavioral health facility · percent of total billed charges · bothfrom % of charges | $99.48 | $178.43 | $11.75 – $503.00 |
| 6 | Aetna aetna medicare advantage facility · other · outpatient | $328.68 | $328.68 | $328.68 – $328.68 |
| 7 | Wellmark wellmark medicare advantage facility · other · outpatient | $331.97 | $331.97 | $331.97 – $331.97 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $335.25 | $335.25 | $335.25 – $335.25 |
| 9 | Molina molina medicaid facility · other · outpatient | $337.50 | $337.50 | $337.50 – $337.50 |
| 10 | Anthem wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 11 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 12 | Carefirst wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 13 | Excellus wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 14 | Highmark wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 15 | Kaiser wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 16 | Premera wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 17 | Regence wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 18 | Wellmark wellmark hmo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 19 | Wellmark wellmark ppo facility · fee schedule · outpatient | $356.43 | $356.43 | $356.43 – $356.43 |
| 20 | Oscar oscar facility · other · outpatient | $514.72 | $514.72 | $514.72 – $514.72 |
| 21 | Ambetter ambetter marketplace facility · other · outpatient | $563.45 | $563.45 | $563.45 – $563.45 |
| 22 | UnitedHealthcare united healthcare facility · fee schedule · outpatient | $828.97 | $828.97 | $828.97 – $828.97 |
| 23 | Aetna aetna facility · fee schedule · outpatient | $1,678 | $1,678 | $1,678 – $1,678 |
| 24 | First Health aetna facility · fee schedule · outpatient | $1,678 | $1,678 | $1,678 – $1,678 |
| 25 | Medical Mutual aetna facility · fee schedule · outpatient | $1,678 | $1,678 | $1,678 – $1,678 |
Last updated: Mar 31, 2026
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