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
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTION
Panguitch, UT
See all hospitals reporting HCPCS Q9967 →Price type
Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital’s median price of $269 is 2457% above the median hospital's median price ($11), higher than 93% 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: 7 payers, 42 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna aetna medicare hmo professional · fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 2 | Aetna aetna medicare ppo professional · fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 3 | Molina medicaid professional · fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 4 | Molina molina healthcare medicaid hmo professional · fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 5 | Molina molina medicare complete care hmo snp professional · fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 6 | Aetna aetna medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $114.50 | $170.03 | $39.80 – $458.47 |
| 7 | Aetna aetna medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $114.50 | $170.03 | $39.80 – $458.47 |
| 8 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $114.50 | $170.03 | $39.80 – $458.47 |
| 9 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $114.50 | $170.03 | $39.80 – $458.47 |
| 10 | Molina molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $126.56 | $187.92 | $43.99 – $506.73 |
| 11 | Tricare tricare (hnfs) military program facility · percent of total billed charges · outpatientfrom % of charges | $130.51 | $193.79 | $45.36 – $522.54 |
| 12 | Tricare tricare (hnfs) military program facility · percent of total billed charges · inpatientfrom % of charges | $155.22 | $230.48 | $53.95 – $621.47 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $247.09 | $366.90 | $85.89 – $989.33 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $253.12 | $375.85 | $87.98 – $1,013 |
| 15 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $268.18 | $398.22 | $93.22 – $1,074 |
| 16 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · inpatientfrom % of charges | $268.18 | $398.22 | $93.22 – $1,074 |
| 17 | Aetna aetna extended network facility · percent of total billed charges · inpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
| 18 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · inpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
| 19 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · outpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
| 20 | Aetna aetna utah connected network facility · percent of total billed charges · inpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
| 21 | Aetna aetna utah connected network facility · percent of total billed charges · outpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
| 22 | Aetna aetna whole health connected utah network facility · percent of total billed charges · inpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
| 23 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · inpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
| 24 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · outpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
| 25 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · inpatientfrom % of charges | $286.26 | $425.07 | $99.50 – $1,146 |
Last updated: Aug 5, 2026
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