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
$1
Average
$116
Median
$51
High
$763
Each hospital's average Premera rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 181.3× 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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18 hospital rates
iThe hospitals that file a Premera 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $233 | $228 | $38 | 17% | 53–71 | $185 – $285 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $25 | $39 | $28 | 72% | — | $13 – $80 |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 8 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $24 | $35 | $26 | 75% | — | $8 – $83 |
| 9 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 11 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 12 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 13 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 14 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 16 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 17 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS Q9958 · Snapshot 20261111T120946Z-9134e7f7