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
DIATRIZOATE MEGLUMINE-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION
Rochester, MN
See all hospitals reporting HCPCS Q9963 →Price type
Mayo Clinic’s median price of $21 is 559% above the median hospital's median price ($3), higher than 62% of the 1,837 hospitals reporting HCPCS Q9963. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 111 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 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $0 | 7% | — | $5 – $5 |
| 12 | Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $0 | 7% | — | $5 – $5 |
| 13 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $0 | 7% | — | $5 – $5 |
| 14 | Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $0 | 7% | — | $5 – $5 |
| 15 | Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $0 | 7% | — | $5 – $5 |
| 16 | Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $0 | 7% | — | $5 – $5 |
| 17 | UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges | $5 | $5 | $0 | 7% | — | $5 – $5 |
| 18 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · both | $7 | $7 | $1 | 9% | — | $6 – $8 |
| 19 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · both | $9 | $9 | $1 | 9% | — | $8 – $10 |
| 20 | Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges | $12 | $12 | $1 | 7% | — | $11 – $12 |
| 21 | Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges | $12 | $12 | $1 | 7% | — | $11 – $13 |
| 22 | Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges | $12 | $12 | $1 | 7% | — | $11 – $13 |
| 23 | Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges | $14 | $14 | $1 | 7% | — | $13 – $15 |
| 24 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
Last updated: Aug 14, 2026
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.