Iodinated contrast dye, per milliliter at Proctor Community 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CYSTOGRAFIN 30 % URETHRAL SOLUTION

Peoria, IL

See all hospitals reporting HCPCS Q9958 →

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How this price compares nationally

Proctor Community Hospital’s median price of $108 is 23320% above the median hospital's median price ($0), higher than 85% of the 1,726 hospitals reporting HCPCS Q9958. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9958 at Proctor Community Hospital

Negotiated rates from the hospital’s own file: 6 payers, 17 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 medicare-medicaid (d-snp) fee schedule · inpatient	$0	$0	—	—	—	$0 – $0
2	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$57	$67	$19	28%	—	$56 – $99
4	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$57	$67	$19	28%	—	$56 – $99
5	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$69	$81	$22	28%	—	$67 – $119
6	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$69	$81	$22	28%	—	$67 – $119
7	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$69	$81	$22	28%	—	$67 – $119
8	Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges	$69	$81	$22	28%	—	$67 – $119
9	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$89	$105	$29	28%	4–40	$87 – $155
10	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$89	$105	$29	28%	—	$87 – $155
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$90	$106	$29	28%	4–40	$88 – $157
12	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$110	$130	$36	28%	—	$107 – $192
13	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$112	$132	$36	28%	—	$109 – $195
14	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$114	$135	$37	28%	—	$111 – $199
15	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$114	$135	$37	28%	—	$111 – $199
16	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$114	$135	$37	28%	—	$111 – $199
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$153	$180	$50	28%	—	$149 – $267

Last updated: Apr 15, 2026

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