Gastrografin oral contrast solution at Boulder Community Health

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

diatrizoate meglumine-sodium 66-10 % solution 30 mL Bottle

Boulder, CO

See all hospitals reporting HCPCS Q9963 →

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Pricing by billing methodology

Price type

How this price compares nationally

Boulder Community Health’s median price of $57 is 1710% above the median hospital's median price ($3), higher than 77% 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 Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 24 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	Anthem commercial professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
2	Anthem managed care professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
3	Cigna commercial professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
4	Humana medicare advantage professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
5	UnitedHealthcare commercial professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
6	UnitedHealthcare medicare advantage professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
7	Aetna medicare advantage professional · fee schedule · both	$0	$0	—	—	—	$0 – $0
8	Cigna commercial facility · fee schedule · outpatient	$0	$0	$0	15%	—	$0 – $0
9	Aetna commercial professional · fee schedule · both	$0	$0	$0	30%	—	$0 – $0
10	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	$2	7%	—	$31 – $36
11	Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
12	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$44	$51	$16	30%	—	$35 – $85
13	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
14	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
15	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
16	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$83	$83	—	—	—	$83 – $83
17	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
18	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$99	$99	—	—	—	$99 – $99
19	Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges	$99	$99	—	—	—	$99 – $99
20	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
21	Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
22	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
23	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
24	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$125	$125	—	—	—	$125 – $125

Last updated: Sep 16, 2026

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See Gastrografin oral contrast solution pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.