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
GASTROGRAFIN 37% 30 ML
Low
$0
Average
$2.8k
Median
$2.6k
High
$12.2k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 62 hospitals; the 90th percentile is 75.8× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tristar Ashland City Medical Center Ashland City, TN | $2k | $2k | — | — | — | $36 – $2k |
| 2 | Hca Healthone Mountain Ridge Thornton, CO | $350 | $350 | — | — | — | $0 – $350 |
| 3 | Hca Healthone Northeast Er THORNTON, CO | $350 | $350 | — | — | — | $0 – $350 |
| 4 | Victoria of Texas LP Victoria, TX | $1 | $1 | $0 | 55% | — | $0 – $10 |
| 5 | Victoria of Texas LP Victoria, TX | $1 | $1 | $0 | 55% | — | $0 – $10 |
| 6 | Gadsden Regional Medical Center LLC Gadsden, AL | $1.5k | $1.5k | — | — | — | $5 – $1.5k |
| 7 | Key West HMA LLC Key West, FL | $64 | $64 | $2 | 2% | — | $0 – $65 |
| 8 | Laredo Texas Hospital Company LP Laredo, TX | $0 | $0 | $0 | 29% | — | $0 – $1 |
| 9 | Manatee Memorial Hospital Bradenton, FL | $673 | $602 | $88 | 15% | — | $474 – $673 |
| 10 | Lakewood Ranch Lakewood Ranch, FL | $1.0k | $982 | $188 | 19% | — | $735 – $1.2k |
Ask Claude or any MCP client for HCPCS Q9963 pricing at a specific hospital — see how to connect.