Low-osmolar contrast dye, 1 mL at Samaritan 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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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IOPAMIDOL 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION

Troy, NY

See all hospitals reporting HCPCS Q9966 →

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How this price compares nationally

Samaritan Hospital’s median price of $18 is 256% above the median hospital's median price ($5), higher than 58% of the 2,049 hospitals reporting HCPCS Q9966. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9966 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 26 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 united healthcare medicaid harp chip facility · fee schedule · both	$4	$4	$1	33%	—	$3 – $5
2	Cigna cigna facility · fee schedule · both	$9	$9	$3	33%	—	$6 – $12
3	Aetna aetna facility · fee schedule · both	$13	$13	$4	33%	—	$9 – $18
4	Medical Mutual aetna facility · fee schedule · both	$13	$13	$4	33%	—	$9 – $18
5	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$14	$14	$5	33%	—	$9 – $18
6	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
7	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
8	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
9	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
10	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
11	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
12	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
13	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
14	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
15	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
16	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
17	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$81	$81	$65	81%	—	$15 – $146
18	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$87	$114	$101	89%	—	$15 – $266
19	First Health first health facility · percent of total billed charges · bothfrom % of charges	$118	$118	$95	81%	—	$23 – $213
20	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$132	$132	$107	81%	—	$25 – $239
21	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$132	$132	$107	81%	—	$25 – $239
22	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$132	$132	$107	81%	—	$25 – $239
23	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$147	$147	$119	81%	—	$28 – $266
24	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$147	$147	$119	81%	—	$28 – $266
25	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$147	$147	$119	81%	—	$28 – $266

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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