00407-1412-30 — Omnipaque 240
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Omnipaque 240 (OTHER 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=OTHER
MLA (9th ed.)
“Omnipaque 240 (OTHER 00407-1412-30) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00407-1412-30?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Omnipaque 240 (OTHER 00407-1412-30) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00407-1412-30?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$2,242 (25th–75th percentile) across 2 hospitals · 32 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL Outpatient | Mount Carmel/Medigold | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Duel Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Oscar | Exchange | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | $0.68 | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Va Pccc Program | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Managed Medicaid | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource | Medicare/Dual Eligible Special Needs | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Choice | Ppo | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Beech Street | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Hmo, Ppo, Traditional | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Managed Medicaid | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Marysville City Schools | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Health Exchange | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Medical Mutual Of Ohio | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Valor Health Plan | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Gateway Health Plan | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan | Medicare Dual | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group | Ppo/Health Reach | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Unison | Managed Medicaid | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Multiplan (Phcs) | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Ohio | Managed Medicaid | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohiohealthy | Premier | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accessible Health Alliance/Oh Health Choice | Comm | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | American Community Mutual Insurance | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Health Plan/Ohio | Medicaid Managed Care | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Buckeye Preferred Network | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Bureau For Children With Medical Handicaps | Mcd | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Caresource (Ohio Marketplace) | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Core Care Select (Copc) | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Emerald Health Network | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio Health Group (Aka Ohio Healthy) | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Ohio State University Health Plan | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Paramount Advantage/Anthem | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Three Rivers Provider Network (Trpn) | Commercial | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Accountable Health Plan Of Oh | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicare Advantage Hmo/Ppo | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Ppo | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Hmo.Hic | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Anthem | Traditional | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Medicare Advantage | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Dual | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Molina | Managed Medicaid | — | $45.61 | $29.65 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL Outpatient | Aetna Better Health | Commercial | — | $45.61 | $29.65 | 2026-05-24 | 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 ↗ |
| 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 | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $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 | United Healthcare | United Healthcare | — | $107.70 | $53.85 | 2026-05-14 | MRF ↗ |