00407-1414-72 — Omnipaque 350
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Omnipaque 350 (OTHER 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=OTHER
MLA (9th ed.)
“Omnipaque 350 (OTHER 00407-1414-72) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00407-1414-72?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Omnipaque 350 (OTHER 00407-1414-72) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00407-1414-72?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $0–$311 (25th–75th percentile) across 3 hospitals · 28 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| SINGING RIVER HEALTH SYSTEM Outpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Wellcare | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Ambetter | Exchange Commercial | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina | Medicaid Mscan | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare | Medicaid Mscan | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Cigna | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare | Government | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Humana | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid | [State] | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Aetna | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Blue Cross Blue Shield | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid Hmo | Generic | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Mississippi Physicians Care Network | Commercial | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | First Choice | Commercial | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Shared Health | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare Advantage | Generic | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Magnolia | Medicaid Mscan | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | 90 Degree Benefits | Commercial | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina Children'S | Managed Medicaid | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina Healthcare Of Ms | Commercial | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Tricare Humana & Behavior Health | Commercial | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Optum | Veteran Affairs | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare Children'S | Managed Medicaid | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Unitedhealthcare Marketplace Exchange | Commercial | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | First Choice Preferred Pricing | Commercial | — | $226.60 | $67.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Optum | Veteran Affairs | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Wellcare | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Ambetter | Exchange Commercial | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina | Medicaid Mscan | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare | Medicaid Mscan | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Cigna | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare | Government | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Humana | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid | [State] | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Aetna | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Blue Cross Blue Shield | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicaid Hmo | Generic | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Mississippi Physicians Care Network | Commercial | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | First Choice | Commercial | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Shared Health | Medicare Advantage | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Medicare Advantage | Generic | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Magnolia | Medicaid Mscan | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | 90 Degree Benefits | Commercial | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina Children'S | Managed Medicaid | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Molina Healthcare Of Ms | Commercial | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Tricare Humana & Behavior Health | Commercial | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | United Healthcare Children'S | Managed Medicaid | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | Unitedhealthcare Marketplace Exchange | Commercial | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Outpatient | First Choice Preferred Pricing | Commercial | — | $226.60 | $67.98 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $196.43 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $210.71 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $215.16 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $246.80 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $249.19 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $250.51 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $260.78 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $273.84 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $303.18 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $311.49 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $331.05 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $335.99 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $336.87 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $337.90 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $338.05 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $348.75 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $351.98 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $352.08 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $370.56 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $382.40 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $387.29 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $422.50 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $462.10 | $489.00 | $223.47 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $464.55 | $489.00 | $223.47 | 2026-05-23 | 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 | Aetna | Better Health | — | $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 | Cigna | Cigna | — | $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 | Multiplan | Multiplan | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare | — | $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 | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $118.35 | $94.68 | 2026-05-13 | MRF ↗ |