00407-1412-30 — Omnipaque 240
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Omnipaque 240 (CPT 00407-1412-30) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00407-1412-30?code_type=CPT
MLA (9th ed.)
“Omnipaque 240 (CPT 00407-1412-30) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00407-1412-30?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Omnipaque 240 (CPT 00407-1412-30) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00407-1412-30?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,242–$5,223 (25th–75th percentile) across 3 hospitals · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 00407-1412-30 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| LUBBOCK HEART HOSPITAL LP Outpatient | Blue Cross Blue Shield Of Tx | Bav Qhp | $0.43 | $181.05 | $181.05 | 2026-05-23 | MRF ↗ |
| LUBBOCK HEART HOSPITAL LP Outpatient | Blue Cross Blue Shield Of Tx | Ppo/Trad | $0.43 | $181.05 | $181.05 | 2026-05-23 | MRF ↗ |
| LUBBOCK HEART HOSPITAL LP Outpatient | Blue Cross Blue Shield Of Tx | Hmo Pos | $140.15 | $181.05 | $181.05 | 2026-05-23 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $107.70 | $53.85 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Providence Health Plan | Medicare Advantage | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Careoregon | Ohp/Medicaid | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Medicaid Ohp Plans | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Ind Navigator/Coordinated Care | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Medicaid Hop/Ohp Bridge | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Nonind Navigator/Coordinated Care | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo & Hmo | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $145.65 | $94.67 | 2026-05-22 | MRF ↗ |