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 300-399 IC 50ML
Dallas, TX
See all hospitals reporting HCPCS Q9967 →Price type
Med City Heart Hospital’s median price of $169 is 1508% above the median hospital's median price ($11), higher than 87% 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: 7 payers, 36 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 allpayerappendix fee schedule · outpatient | $0.25 | $0.25 | $0.25 – $0.25 |
| 2 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $0.25 | $0.25 | $0.25 – $0.25 |
| 3 | UnitedHealthcare smallgroup fee schedule · outpatient | $0.25 | $0.25 | $0.25 – $0.25 |
| 4 | Aetna qhphix fee schedule · outpatient | $0.36 | $0.36 | $0.36 – $0.36 |
| 5 | Aetna newbusiness fee schedule · outpatient | $0.49 | $0.49 | $0.49 – $0.49 |
| 6 | Aetna comm fee schedule · outpatient | $0.53 | $0.53 | $0.53 – $0.53 |
| 7 | Aetna meritain fee schedule · outpatient | $0.53 | $0.53 | $0.53 – $0.53 |
| 8 | Humana comm fee schedule · outpatient | $0.86 | $0.86 | $0.86 – $0.86 |
| 9 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $0.89 | $0.89 | $0.89 – $0.89 |
| 10 | Cigna localplus fee schedule · outpatient | $0.91 | $0.91 | $0.91 – $0.91 |
| 11 | Cigna newbusiness fee schedule · outpatient | $0.91 | $0.91 | $0.91 – $0.91 |
| 12 | Cigna hmo fee schedule · outpatient | $1.01 | $1.01 | $1.01 – $1.01 |
| 13 | Cigna networkbenefit fee schedule · outpatient | $1.01 | $1.01 | $1.01 – $1.01 |
| 14 | Cigna openaccessplus fee schedule · outpatient | $1.01 | $1.01 | $1.01 – $1.01 |
| 15 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $1.10 | $1.10 | $1.10 – $1.10 |
| 16 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $1.10 | $1.10 | $1.10 – $1.10 |
| 17 | Cigna allother fee schedule · outpatient | $1.28 | $1.28 | $1.28 – $1.28 |
| 18 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $1.62 | $1.62 | $1.62 – $1.62 |
| 19 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $1.62 | $1.62 | $1.62 – $1.62 |
| 20 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $1.70 | $1.70 | $1.70 – $1.70 |
| 21 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.78 | $1.78 | $1.78 – $1.78 |
| 22 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $30.13 | $68.50 | $0.20 – $202.15 |
| 23 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $30.13 | $68.50 | $0.20 – $202.15 |
| 24 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $30.13 | $68.50 | $0.20 – $202.15 |
| 25 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $30.13 | $68.50 | $0.20 – $202.15 |
Last updated: Mar 1, 2026
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