Iodinated contrast agent, 200-249 mg/mL iodine per mL 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

CONRAY-43 43 % INTRAVENOUS SOLUTION

Peoria, IL

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How this price compares nationally

Proctor Community Hospital’s median price of $39 is 9879% above the median hospital's median price ($0), higher than 92% of the 780 hospitals reporting HCPCS Q9960. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9960 at Proctor Community Hospital

Negotiated rates from the hospital’s own file: 7 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	UnitedHealthcare va ccn fee schedule · inpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare va ccn fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$25	$25	$2	9%	—	$22 – $27
4	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$25	$25	$2	9%	—	$22 – $27
5	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$30	$30	$3	9%	—	$27 – $33
6	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$30	$30	$3	9%	—	$27 – $33
7	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$30	$30	$3	9%	—	$27 – $33
8	Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges	$30	$30	$3	9%	—	$27 – $33
9	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$39	$39	$4	9%	—	$35 – $42
10	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$39	$39	$4	9%	—	$35 – $42
11	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$39	$39	$4	9%	—	$36 – $43
12	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$48	$48	$4	9%	—	$43 – $52
13	Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges	$49	$49	$5	9%	—	$44 – $53
14	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$50	$50	$5	9%	—	$45 – $54
15	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$50	$50	$5	9%	—	$45 – $54
16	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$50	$50	$5	9%	—	$45 – $54
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$66	$66	$6	9%	—	$60 – $73

Last updated: Apr 15, 2026

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