4120028 — Isovue 370 50ml (bottle)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ISOVUE 370 50ML (BOTTLE) (OTHER 4120028) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4120028?code_type=OTHER
MLA (9th ed.)
“ISOVUE 370 50ML (BOTTLE) (OTHER 4120028) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4120028?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ISOVUE 370 50ML (BOTTLE) (OTHER 4120028) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4120028?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $161–$1,726 (25th–75th percentile) across 3 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 4120028 — 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 |
|---|---|---|---|---|---|---|---|
| Dewitt Hospital & Nursing Home, Inc Outpatient | Vaccn Plan | Medicare | $55.79 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Vaccn Plan | Medicare | $55.79 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Fentress County Sheriffs Dept | Fentress County Inmates | $100.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Ifp Connect | $105.25 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Local Plus | $105.25 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $112.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Nexus Aco Oap | $112.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Tn Individual Exchange Benefit | $112.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Core | $112.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Heritage Select | $112.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network L | $132.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network E | $132.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Aetna | Commercial | $144.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network S | $145.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Multiplan | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Nx Health | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Phcs | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Phcs | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Multiplan | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Phcs | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Nx Health | Commercial | $150.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bcbs Network P | $160.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Naphcare | Mccreary County Usp | $162.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | $175.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | First Health Network | $175.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Aetna | First Health Network | $175.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Aetna | First Health Network | $175.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Commercial | $175.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Beechstreet | Commercial - Outpatient | $187.50 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Seven Corners-Mccreary | Commercial | $187.50 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Prime Health | Ppo | $187.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Seven Corners | Mccreary County Usp | $187.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Beechstreet | Commercial - Outpatient | $187.50 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Seven Corners-Mccreary | Commercial | $187.50 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Prime Health | Ppo | $187.50 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Prime Health | Ppo | $187.50 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Beechstreet | Commercial | $187.50 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Cigna | Hmo/Nl/Oap/Other/Gw | $189.75 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Usa | Mco Epo - Outpatient | $200.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Usa | Mco Ppo - Outpatient | $200.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Usa | Mco Epo | $200.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Usa | Mco Ppo | $200.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Usa | Mco Ppo - Outpatient | $200.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Usa | Mco Epo - Outpatient | $200.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Galaxy | Commercial | $225.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Evolutions | Commercial - Outpatient | $225.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Healthsmart | Commercial | $225.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Healthsmart | Commercial | $225.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Inpatient | Galaxy | Commercial | $225.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Galaxy | Commercial | $225.00 | $250.00 | $62.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Evolutions | Commercial | $225.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Evolutions | Commercial - Outpatient | $225.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Healthsmart | Commercial | $225.00 | $250.00 | $62.50 | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Prime Health | Workers Comp | $250.00 | $250.00 | $62.50 | 2026-05-09 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Medicaid Plan | Medicaid | $721.01 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Total Care Plan | Medicaid | $721.01 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Medicaid Plan | Medicaid | $721.01 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Total Care Plan | Medicaid | $721.01 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Municipal Health Plan | Commercial | $1,132.05 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Municipal Health Plan | Commercial | $1,132.05 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Uhc Plan | Commercial | $1,415.07 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Aetna Plan | Commercial | $1,415.07 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Uhc Plan | Commercial | $1,415.07 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Aetna Plan | Commercial | $1,415.07 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs Medicare Advantage Plan | Medicare | $1,726.38 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs Medicare Advantage Plan | Medicare | $1,726.38 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Vantage Medicare Advantage Plan | Medicare | $1,726.38 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Medicare Plan | Medicare | $1,726.38 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Uhc Medicare Plan | Medicare | $1,726.38 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Medicare Plan | Medicare | $1,726.38 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Vantage Medicare Advantage Plan | Medicare | $1,726.38 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Uhc Medicare Plan | Medicare | $1,726.38 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Vantage Health Plan | Commercial | $1,981.09 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Vantage Health Plan | Commercial | $1,981.09 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Ambetter Plan | Medicare | $2,157.97 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Ambetter Plan | Medicare | $2,157.97 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Qualchoice Plan | Commercial | $2,547.12 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Qualchoice Plan | Commercial | $2,547.12 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs Health Advantage Hmo Plan | Commercial | $2,688.62 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs First Source Ppo Plan | Commercial | $2,688.62 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs True Blue Ppo Plan | Commercial | $2,688.62 | $2,830.13 | $2,830.13 | 2026-05-22 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs First Source Ppo Plan | Commercial | $2,688.62 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs Health Advantage Hmo Plan | Commercial | $2,688.62 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs True Blue Ppo Plan | Commercial | $2,688.62 | $2,830.13 | $2,830.13 | 2026-05-11 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Medicare All Plans | — | $3,733.49 | $4,666.86 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Regence All Plans | — | $3,966.83 | $4,666.86 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Premera All Plans | — | $3,966.83 | $4,666.86 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | United Healthcare All Plans | — | $4,200.17 | $4,666.86 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Kaiser All Plans | — | $4,200.17 | $4,666.86 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Aetna All Plans | — | $4,200.17 | $4,666.86 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Geha All Plans | — | $4,200.17 | $4,666.86 | — | 2026-05-18 | MRF ↗ |
| FERRY COUNTY MEMORIAL HOSPITAL | Cigna All Plans | — | $4,200.17 | $4,666.86 | — | 2026-05-18 | MRF ↗ |