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
Iodixanol 320 MG/ML Soln 150 mL Bottle
Jersey Shore, PA
See all hospitals reporting HCPCS Q9967 →Price type
Geisinger Jersey Shore Hospital’s median price of $2 is 76% below the median hospital's median price ($11), higher than 41% 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: 6 payers, 17 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 - chip - managed medicare fee schedule · outpatient | $0.15 | $0.15 | $0.15 – $0.15 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $0.15 | $0.15 | $0.15 – $0.15 |
| 3 | Medicaid medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 4 | Blue Cross Blue Shield highmark freedom blue - medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.46 | $1.72 | $0.60 – $10.22 |
| 5 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $1.65 | $1.94 | $0.67 – $11.54 |
| 6 | Aetna aetna - medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.67 | $1.96 | $0.68 – $11.68 |
| 7 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $3.35 | $3.93 | $1.36 – $23.36 |
| 8 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $5.07 | $5.95 | $2.06 – $35.38 |
| 9 | Blue Cross Blue Shield first priority health percent of total billed charges · outpatientfrom % of charges | $5.20 | $6.11 | $2.12 – $36.29 |
| 10 | Blue Cross Blue Shield highmark - access care ii percent of total billed charges · outpatientfrom % of charges | $5.20 | $6.11 | $2.12 – $36.29 |
| 11 | Blue Cross Blue Shield highmark - non access care ii percent of total billed charges · outpatientfrom % of charges | $5.20 | $6.11 | $2.12 – $36.29 |
| 12 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $5.29 | $6.21 | $2.15 – $36.93 |
| 13 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $5.58 | $6.55 | $2.27 – $38.93 |
| 14 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $5.58 | $6.55 | $2.27 – $38.93 |
| 15 | Blue Cross Blue Shield first priority health case rate · inpatient | $8,940 | $8,940 | $8,940 – $8,940 |
| 16 | Blue Cross Blue Shield highmark - access care ii case rate · inpatient | $15,104 | $15,104 | $15,104 – $15,104 |
| 17 | Blue Cross Blue Shield highmark - non access care ii case rate · inpatient | $15,635 | $15,635 | $15,635 – $15,635 |
Last updated: Jul 1, 2026
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