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
LOCM 300-399MG/ML IODINE,1ML
Monticello, IN
See all hospitals reporting HCPCS Q9967 →Price type
Indiana University Health White Memorial Hospital Inc.’s median price of $39 is 272% above the median hospital's median price ($10), higher than 60% of the 2,272 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: 5 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna hmo - coventry plans fee schedule · outpatient | $0.34 | $0.34 | $0.34 – $0.34 |
| 2 | Aetna pos - cox medical plans fee schedule · outpatient | $0.34 | $0.34 | $0.34 – $0.34 |
| 3 | Aetna ppo - in preferred fee schedule · outpatient | $0.34 | $0.34 | $0.34 – $0.34 |
| 4 | Aetna ppo/pos fee schedule · outpatient | $0.34 | $0.34 | $0.34 – $0.34 |
| 5 | Aetna ppo - first health percent of total billed charges · outpatientfrom % of charges | $37.00 | $99.03 | $0.78 – $520.84 |
| 6 | Aetna ppo - nap percent of total billed charges · outpatientfrom % of charges | $37.00 | $99.03 | $0.78 – $520.84 |
| 7 | Cigna hmo - open access percent of total billed charges · outpatientfrom % of charges | $40.19 | $107.57 | $0.85 – $565.74 |
| 8 | Cigna hmo/pos - arnett hospital plans percent of total billed charges · outpatientfrom % of charges | $40.19 | $107.57 | $0.85 – $565.74 |
| 9 | Cigna ppo - drg plans percent of total billed charges · outpatientfrom % of charges | $40.19 | $107.57 | $0.85 – $565.74 |
| 10 | Cigna ppo - non-drg percent of total billed charges · outpatientfrom % of charges | $40.19 | $107.57 | $0.85 – $565.74 |
| 11 | UnitedHealthcare all managed care percent of total billed charges · outpatientfrom % of charges | $59.94 | $120.92 | $0.78 – $516.53 |
| 12 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $52.92 | $128.15 | $0.85 – $1,342 |
| 13 | MultiPlan ppo - multiplan plans percent of total billed charges · outpatientfrom % of charges | $57.42 | $153.68 | $1.22 – $808.20 |
| 14 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $52.92 | $157.00 | $0.85 – $3,073 |
| 15 | MultiPlan ppo - phcs private healthcare plans percent of total billed charges · outpatientfrom % of charges | $71.40 | $216.94 | $1.15 – $4,453 |
| 16 | Caresource all government medicaid hip fee schedule · outpatient | $435.05 | $435.05 | $435.05 – $435.05 |
| 17 | Caresource all managed medicaid fee schedule · outpatient | $435.05 | $435.05 | $435.05 – $435.05 |
| 18 | UnitedHealthcare all managed medicaid fee schedule · outpatient | $435.05 | $435.05 | $435.05 – $435.05 |
| 19 | UnitedHealthcare all managed care fee schedule · outpatient | $1,919 | $1,919 | $1,919 – $1,919 |
Last updated: Mar 25, 2026
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