Gastrografin oral contrast solution at Lancaster General 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 ORAL SOLN

Lancaster, PA

See all hospitals reporting HCPCS Q9963 →

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Pricing by billing methodology

Price type

How this price compares nationally

Lancaster General Health’s median price of $6 is 81% above the median hospital's median price ($3), higher than 54% 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 Lancaster General Health

Negotiated rates from the hospital’s own file: 8 payers, 25 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	Cigna cigna new business facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$0	$0	—	—	—	$0 – $0
3	Blue Cross Blue Shield cbc commercial facility · fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
4	Aetna aetna medicare advantage facility · other · outpatient	$2	$2	$0	10%	—	$2 – $2
5	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$2	$2	$0	10%	—	$2 – $2
6	Devoted devoted health medicare advantage facility · other · outpatient	$3	$3	$0	10%	—	$3 – $3
7	Highmark highmark chip facility · other · outpatient	$4	$4	$0	10%	—	$3 – $4
8	Oscar oscar health plan facility · other · outpatient	$4	$4	$0	10%	—	$3 – $4
9	Highmark highmark aca facility · other · outpatient	$4	$4	$0	10%	—	$4 – $5
10	Highmark highmark commercial preferred facility · other · outpatient	$5	$5	$0	10%	—	$5 – $5
11	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$5	$5	$0	10%	—	$5 – $6
12	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$6	$6	$1	10%	—	$5 – $6
13	Highmark highmark commercial facility · other · outpatient	$6	$6	$1	10%	—	$6 – $7
14	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	$1	10%	—	$6 – $7
15	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$6	$6	$1	10%	—	$6 – $7
16	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$6	$6	$1	10%	—	$6 – $7
17	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$6	$6	$1	10%	—	$6 – $7
18	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$7	$7	$1	10%	—	$7 – $8
19	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$7	$7	$1	10%	—	$7 – $8
20	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$7	$7	$1	10%	—	$7 – $8
21	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$7	$7	$1	10%	—	$7 – $8
22	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$7	$7	$1	10%	—	$7 – $8
23	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$7	$7	$1	10%	—	$7 – $8
24	Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges	$7	$7	$1	10%	—	$7 – $8
25	Highmark highmark commercial non-preferred facility · other · outpatient	$8	$8	$1	10%	—	$7 – $8

Last updated: Mar 31, 2026

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