Indocyanine green injection, 25 mg at Sanford Wheaton

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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Generated: October 20, 2026

Original text from hospital filings

Methylene Blue IV Soln 50 MG/10ML (5 MG/ML)

Wheaton, MN

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How this price compares nationally

Sanford Wheaton’s median price of $323 is 1029% above the median hospital's median price ($29), higher than 74% of the 2,046 hospitals reporting HCPCS Q9968. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9968 at Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Ucare medicaid managed care case rate · outpatient	$8	$8	—	—	—	$8 – $8
2	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
3	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$191	$191	—	—	—	$191 – $191
4	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
5	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$207	$207	—	—	—	$207 – $207
6	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$207	$207	—	—	—	$207 – $207
7	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$207	$207	—	—	—	$207 – $207
8	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$261	$261	—	—	—	$261 – $261
9	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
10	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
11	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
12	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$317	$317	—	—	—	$317 – $317
13	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$330	$330	—	—	—	$330 – $330
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$330	$330	—	—	—	$330 – $330
15	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$333	$333	—	—	—	$333 – $333
16	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$333	$333	—	—	—	$333 – $333
17	Medica choice percent of total billed charges · outpatientfrom % of charges	$333	$333	—	—	—	$333 – $333
18	Medica choice percent of total billed charges · inpatientfrom % of charges	$335	$335	—	—	—	$335 – $335
19	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$341	$341	—	—	—	$341 – $341
20	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$341	$341	—	—	—	$341 – $341
21	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$351	$351	—	—	—	$351 – $351
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$352	$352	—	—	—	$352 – $352
23	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$352	$352	—	—	—	$352 – $352
24	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$352	$352	—	—	—	$352 – $352
25	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$352	$352	—	—	—	$352 – $352

Page 1 of 2 · 27 rates

Last updated: Mar 4, 2026

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