Gastrografin oral contrast solution at Adventist Health Medical Center Tehachapi

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HIGH OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER ML

Tehachapi, CA

See all hospitals reporting HCPCS Q9963 →

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How this price compares nationally

Adventist Health Medical Center Tehachapi’s median price of $74 is 2245% above the median hospital's median price ($3), higher than 81% of the 1,837 hospitals reporting HCPCS Q9963. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9963 at Adventist Health Medical Center Tehachapi

Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare uhc all payer- all other plans fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
2	UnitedHealthcare uhc jll csp fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
3	Aetna aetna-all plans fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
4	Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
5	Kaiser kaiser medicare ip/op only percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
6	UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
7	Kaiser kaiser ip/op only- all other plans percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
8	Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
9	Blue Cross Blue Shield blue cross exchange case rate · outpatient	$74	$74	—	—	—	$74 – $74
10	Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient	$83	$83	—	—	—	$83 – $83
11	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
12	Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
13	Kaiser kaiser medi-cal ip/op only fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
14	Medicaid medi-cal fee schedule · outpatient	$167	$167	—	—	—	$167 – $167

Last updated: May 21, 2026

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