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-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION
Low
$0
Average
$74
Median
$25
High
$3.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1107 hospitals; the 90th percentile is 341.0× 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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1,661 hospital rates
iThe hospitals that file a Aetna 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 5 | $80 | $90 | $56 | 63% | 720 | $29 – $214 |
| 2 | St Luke's Nampa Medical Center, LTD Nampa, ID percent of total billed charges · bothfrom % of charges | 2 | $44 | $45 | $6 | 13% | 360 | $39 – $56 |
| 3 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · bothfrom % of charges | 2 | $44 | $46 | $6 | 13% | 150 | $39 – $56 |
| 4 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 3 | $416 | $433 | $49 | 11% | 120 | $383 – $501 |
| 5 | St. Charles Bend Bend, OR percent of total billed charges · bothfrom % of charges | 1 | $160 | $160 | $78 | 49% | 100 | $82 – $237 |
| 6 | St. Charles Redmond Redmond, OR percent of total billed charges · bothfrom % of charges | 1 | $160 | $160 | $78 | 49% | 100 | $82 – $237 |
| 7 | Jersey City Medical Center Jersey City, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $7 | $1 | 17% | 82–91 | $5 – $8 |
| 8 | Robert Wood Johnson University Hospital Somerset Somerville, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $7 | $2 | 30% | 43–52 | $4 – $8 |
| 9 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $6 | $2 | 32% | 35–44 | $4 – $8 |
| 10 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 1 | $57 | $87 | $55 | 63% | 30 | $41 – $164 |
| 11 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 5 | $57 | $79 | $53 | 67% | 25–250 | $18 – $216 |
| 12 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | — | — | 24 | $6 – $6 |
| 13 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $44 | $46 | $6 | 13% | 21–30 | $39 – $56 |
| 14 | Clinch Valley Health Richlands, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $73 | $22 | 30% | 19–37 | $57 – $104 |
| 15 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $201 | $225 | $174 | 77% | 16–160 | $59 – $784 |
| 16 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $76 | 98% | 13 | $1 – $153 |
| 17 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $40 | $65 | $63 | 96% | 12–120 | $3 – $235 |
| 18 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $1 | $1 | $0 | 12% | 11 | $1 – $2 |
| 19 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · bothfrom % of charges | 1 | $47 | $62 | $44 | 71% | 10–100 | $17 – $164 |
| 20 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $107 | $146 | $113 | 78% | 6–60 | $26 – $402 |
| 21 | Fleming County Hospital Flemingsburg, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $131 | $135 | 103% | 4–40 | $44 – $363 |
| 22 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $3 | $2 | 62% | 4–40 | $2 – $6 |
| 23 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 3 | $22 | $32 | $18 | 56% | 3–30 | $17 – $57 |
| 24 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · bothfrom % of charges | 1 | $151 | $235 | $142 | 61% | 3–30 | $118 – $435 |
| 25 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · bothfrom % of charges | 1 | $155 | $240 | $145 | 61% | 3–30 | $121 – $445 |
← Payers reporting HCPCS Q9963 · Snapshot 20261111T120946Z-9134e7f7