Indocyanine green injection, 25 mg at Shannon River Crest 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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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

isosulfan blue per 1 mg

San Angelo, TX

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How this price compares nationally

Shannon River Crest Hospital’s median price of $404 is 1311% above the median hospital's median price ($29), higher than 78% of the 2,049 hospitals reporting HCPCS Q9968. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9968 at Shannon River Crest 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	Bcbs Tx hmo facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
2	Bcbs Tx bav facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
3	Bcbs Tx ppo facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
4	Humana medicare advantage facility · case rate · outpatient	$8	$8	—	—	—	$8 – $8
5	Ambetter ppo facility · case rate · outpatient	$17	$17	—	—	—	$17 – $17
6	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$693	$626	$161	26%	—	$404 – $780
7	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$693	$626	$161	26%	—	$404 – $780
8	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$756	$682	$175	26%	—	$441 – $851
9	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$788	$711	$183	26%	—	$459 – $886
10	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$788	$711	$183	26%	—	$459 – $886
11	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$788	$711	$183	26%	—	$459 – $886
12	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$788	$711	$183	26%	—	$459 – $886
13	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$788	$711	$183	26%	—	$459 – $886
14	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$819	$739	$190	26%	—	$477 – $921
15	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$819	$739	$190	26%	—	$477 – $921
16	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$840	$758	$195	26%	—	$490 – $945
17	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$840	$758	$195	26%	—	$490 – $945

Last updated: Dec 8, 2025

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