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
ETHIODIZED OIL 480 MG/ML IJ OIL
Maple Grove, MN
See all hospitals reporting HCPCS Q9964 →Price type
Fairview Maple Grove Surgery Center’s median price of $132 is 24370% above the median hospital's median price ($1), higher than 94% 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, 21 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 | Ucare ifp with fairview fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ucare ifp fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Cross Blue Shield federal fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Blue Cross Blue Shield federal fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Blue Cross Blue Shield commercial fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Medica ma non-snp fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Medica ma snp fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Medica prime solution fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Medica vantage fee schedule · both | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Cigna commercial fee schedule · both | $0 | $0 | $0 | 9% | — | $0 – $0 |
| 13 | UnitedHealthcare commercial fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Medica bold fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Medica choice without / elect fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Medica city of st paul / essential uplan fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Medica choice with fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Ucare ifp percent of total billed charges · outpatientfrom % of charges | $132 | $132 | $1 | 1% | — | $130 – $133 |
| 19 | Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges | $132 | $132 | $1 | 1% | — | $130 – $133 |
| 20 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $217 | $216 | $2 | 1% | — | $213 – $217 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $225 | $224 | $2 | 1% | — | $221 – $225 |
Last updated: May 18, 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.