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
OMIDRIA 1 -0.3 4 ML VIAL
Hialeah, FL
See all hospitals reporting HCPCS J1097 →Price type
Hsa Pgh Llc’s median price of $643 is 361% above the median hospital's median price ($140), higher than 90% of the 1,203 hospitals reporting HCPCS J1097. 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, 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 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 3 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Molina molina managed medicaid facility · other · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 5 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 6 | UnitedHealthcare united healthcare of florida exchange facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 7 | UnitedHealthcare united healthcare of florida hmo facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 8 | UnitedHealthcare united healthcare of florida ppo facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 9 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · inpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $566 | $566 | — | — | — | $566 – $566 |
| 11 | Humana humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $643 | $643 | — | — | — | $643 – $643 |
| 12 | Humana humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $643 | $643 | — | — | — | $643 – $643 |
| 13 | Humana humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $643 | $643 | — | — | — | $643 – $643 |
| 14 | Humana humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $643 | $643 | — | — | — | $643 – $643 |
| 15 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Sep 1, 2026
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