Low-osmolar contrast dye, 100-199 iodine, per mL at Mariners Hospital

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.

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Generated: October 20, 2026

Original text from hospital filings

LOCM 100-199 mg ml iodine ml

TAVERNIER, FL

See all hospitals reporting HCPCS Q9965 →

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How this price compares nationally

Mariners Hospital’s median price of $6 is 114% above the median hospital's median price ($3), higher than 68% of the 1,553 hospitals reporting HCPCS Q9965. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9965 at Mariners Hospital

Negotiated rates from the hospital’s own file: 8 payers, 31 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	Blue Cross Blue Shield my blue ex percent of total billed charges · bothfrom % of charges	$1	$1	—	—	—	$1 – $1
2	Blue Cross Blue Shield bcbs medicare ppo percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
3	Medica medica mcr hmo percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
4	Medicare simplyhlth mc hmo nc percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
5	UnitedHealthcare united hlth mc hmo percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
6	Humana careplus mc hmo percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
7	Humana humana medicare percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
8	Aetna aetna medicare percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
9	Cigna cigna medicare advantage percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
10	Medicare devoted health mc hmo percent of total billed charges · bothfrom % of charges	$2	$2	—	—	—	$2 – $2
11	Blue Cross Blue Shield bcbs fl simplyblue hmo percent of total billed charges · bothfrom % of charges	$5	$5	—	—	—	$5 – $5
12	Aetna aetna hmo exchange percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
13	Cigna cigna connect network exchange percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
14	Blue Cross Blue Shield bcbs ppc cah percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
15	Blue Cross Blue Shield blue care hmo percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
16	Blue Cross Blue Shield blue select percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
17	Aetna aetna catastrophic percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
18	Aetna aetna hmo percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
19	Aetna aetna ppo percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
20	Aetna aetna tier 2 percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
21	Cigna cigna hmo percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
22	Cigna cigna ppo percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
23	UnitedHealthcare intl united health percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
24	UnitedHealthcare nhp hmo percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6
25	UnitedHealthcare united hmo percent of total billed charges · bothfrom % of charges	$6	$6	—	—	—	$6 – $6

Page 1 of 2 · 31 rates

Last updated: Mar 30, 2026

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