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
LOW OSMOLAR CONTRAST MATERIAL, 100-199 MG/ML IODINE CONCENTRATION, PER ML
Glendale, CA
See all hospitals reporting HCPCS Q9965 →Price type
Glendale Adventist Medical Center’s median price of $2 is 22% below the median hospital's median price ($3), higher than 41% of the 1,553 hospitals reporting HCPCS Q9965. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield blue shield medi-cal percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 6 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 7 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 8 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 14 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Medicaid medi-cal fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 18 | Molina molina mcal fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 19 | Aetna aetna - all plans fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
Last updated: Jul 30, 2026
See Low-osmolar contrast dye, 100-199 iodine, per mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.