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.
Original text from hospital filings
LOCM 100-199MG/ML IODINE,1ML
Jasper, TX
See all hospitals reporting HCPCS Q9965 →Price type
Southeast Texas - Jasper Memorial’s median price of $3 is 10% above the median hospital's median price ($3), higher than 53% of the 1,546 hospitals reporting HCPCS Q9965. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 8 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 all payer fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Humana choicecare fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Bcbs Tx heb fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
Last updated: Jan 13, 2026
See Low-osmolar contrast dye, 100-199 iodine, per mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.