Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLN
Low
$0
Average
$27
Median
$6
High
$257
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 233.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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51 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $1 | $1 | $1 | 82% | — | $0 – $1 |
| 5 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $166 | $166 | $43 | 26% | — | $123 – $209 |
| 16 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $83 | $83 | $21 | 25% | — | $62 – $103 |
| 21 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $10 | 46% | — | $11 – $31 |
| 23 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $10 | 46% | — | $11 – $31 |
| 24 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $17 | $9 | 51% | — | $7 – $32 |
| 25 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | $15 | 56% | — | $12 – $42 |
← Payers reporting HCPCS Q9958 · Snapshot 20261111T120946Z-9134e7f7