00407-1414-72 — Omnipaque 350
Cite this view
HANK Price Transparency. (n.d.). Omnipaque 350 (CPT 00407-1414-72) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00407-1414-72?code_type=CPT
“Omnipaque 350 (CPT 00407-1414-72) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00407-1414-72?code_type=CPT. Accessed .
“Omnipaque 350 (CPT 00407-1414-72) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00407-1414-72?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $0–$0 (25th–75th percentile) across 2 hospitals · 26 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 00407-1414-72 — 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 |
|---|---|---|---|---|---|---|---|
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Intervalley Healthcare | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Velocity | Medicare Advantage | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Easy Choice Health Plan | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Providence Health Network | Providence Health Network | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Epic Management | Medicare Advantage | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Epic Management | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Epic Management- Medi | Cal Managed Care | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Health Net- Medi | Cal | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Lasalle Medical Associates | Medical | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Lasalle Medical Associates | Commercial/Senior | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Blue Shield | Non Epn | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Blue Shield | Epn | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Molina Healthcare | Molina Healthcare | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Inland Empire Health Plan | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Health Net | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Health Net | Ambetter Ppo | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Health Net | Ambetter Hmo | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Redlands Community Hospital | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Redlands Community Hospital | Medicare Advantage | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Beaver Medical Group | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Kaiser | Medical | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Kaiser | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Kaiser | Medicare | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Anthem Blue Cross | Commercial | $0.21 | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Choice Physicians Network | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Imperial Health Plan | Commercial | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Velocity | Group Health And All Other | — | $854.28 | $170.86 | 2026-05-17 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Cigna | Cigna | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Multiplan | Multiplan | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Caresource | Caresource | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Aetna | Better Health | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | United Mine Workers Of America | United Mine Workers Of America | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Aetna Rental | First Health | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |