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
LIPIODOL 4.8GM I/10ML INJ
Phoenix, AZ
See all hospitals reporting HCPCS Q9964 →Price type
Dignity Health’s median price of $1.6k is 287678% above the median hospital's median price ($1), higher than 99% of the 633 hospitals reporting HCPCS Q9964. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 15 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|exchange fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Cigna commercial|localplus surefit fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Cigna commercial|all other plans fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Aetna commercial|all plans fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 9 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $703 | $703 | — | — | — | $703 – $703 |
| 10 | Optum commercial|optumhealth fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Cigna commercial|lifesource fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | First Health commercial|all plans fee schedule · inpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 13 | First Health commercial|all plans fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 14 | MultiPlan commercial|all plans fee schedule · inpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 15 | MultiPlan commercial|all plans fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
Last updated: Feb 28, 2026
See Iodinated contrast agent, 400 mg/mL injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.