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  4. /NDC 65219038305

NDC 65219038305

IODIXANOL 320 MG/ML IV SOLN at Pennsylvania Hospital of the University of Pennsylvania Health System

Philadelphia, PA

Pricing by billing methodology

Price type

All methodologies

$107

Aggregated across all available billing methodologies for this code.

Case rate

$164

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$0

Reflects negotiated fee schedule rates with commercial payers.

Per diem

$22

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$98

Reflects a negotiated percentage of total billed charges.

Other

$164

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Mar 20, 2026

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See IODIXANOL 320 MG/ML IV SOLN pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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