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
$58
Median
$1
High
$800
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 598.8× 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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36 hospital rates
iThe hospitals that file a Wellmark 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 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $7 | $10 | $6 | 58% | — | $5 – $20 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $7 | $9 | $6 | 58% | — | $5 – $19 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · both | 1 | $208 | $202 | $46 | 23% | — | $142 – $255 |
| 10 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $121 | $117 | $27 | 23% | — | $83 – $148 |
| 11 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $95 | $22 | 23% | — | $67 – $120 |
| 12 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $104 | $101 | $23 | 23% | — | $71 – $128 |
| 13 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $87 | $20 | 23% | — | $61 – $110 |
| 14 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $69 | $16 | 23% | — | $48 – $87 |
| 15 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · both | 1 | $208 | $202 | $46 | 23% | — | $142 – $255 |
| 16 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $67 | $65 | $15 | 23% | — | $46 – $82 |
| 17 | Meriter Hospital, Inc Madison, WI fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Meriter Hospital, Inc Madison, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $1 | $1 | $0 | 46% | — | $0 – $1 |
| 21 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · inpatientfrom % of charges | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 23 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 2 | $110 | $110 | $44 | 40% | — | $66 – $155 |
| 24 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | St Michael's Hospital Tyndall, SD percent of total billed charges · inpatientfrom % of charges | 1 | $800 | $800 | — | — | — | $800 – $800 |
← Payers reporting HCPCS Q9963 · Snapshot 20261111T120946Z-9134e7f7