Gastrografin oral contrast solution at CHRISTUS Hospital - Orange

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
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

diatrizoate meglumine & sodium (37% iodine) (GASTROGRAFIN) solution 30 mL

Orange, TX

See all hospitals reporting HCPCS Q9963 →

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How this price compares nationally

CHRISTUS Hospital - Orange’s median price of $200 is 6203% above the median hospital's median price ($3), higher than 95% 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 CHRISTUS Hospital - Orange

Negotiated rates from the hospital’s own file: 11 payers, 23 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 all payer fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare hix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Humana choicecare fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Bcbs Tx blue advantage hmo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
5	Bcbs Tx heb fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
6	Bcbs Tx hmo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
7	Bcbs Tx ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
8	Bcbs Tx traditional fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
9	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$54	$82	$56	67%	—	$32 – $186
10	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$54	$82	$56	67%	—	$32 – $186
11	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$54	$82	$56	67%	—	$32 – $186
12	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$54	$82	$56	67%	—	$32 – $186
13	Aetna mm percent of total billed charges · outpatientfrom % of charges	$130	$198	$133	67%	—	$77 – $446
14	Molina chip km percent of total billed charges · outpatientfrom % of charges	$163	$247	$167	67%	—	$97 – $558
15	Molina star km percent of total billed charges · outpatientfrom % of charges	$163	$247	$167	67%	—	$97 – $558
16	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$163	$247	$167	67%	—	$97 – $558
17	Cigna new business percent of total billed charges · outpatientfrom % of charges	$211	$321	$217	67%	—	$126 – $725
18	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$244	$371	$250	67%	—	$145 – $836
19	Devoted mm percent of total billed charges · outpatientfrom % of charges	$271	$412	$278	67%	—	$161 – $929
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$325	$494	$333	67%	—	$193 – $1.1k
21	First Health ppo percent of total billed charges · outpatientfrom % of charges	$352	$535	$361	67%	—	$210 – $1.2k
22	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$352	$535	$361	67%	—	$210 – $1.2k
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$352	$535	$361	67%	—	$210 – $1.2k

Last updated: Jan 13, 2026

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