Gastrografin oral contrast solution at MVHS, Inc.

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-DIATRIZOATE SODIUM 66 %-10 % ORAL SOLUTION

Utica, NY

See all hospitals reporting HCPCS Q9963 →

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How this price compares nationally

MVHS, Inc.’s median price of $308 is 9621% above the median hospital's median price ($3), higher than 96% 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 MVHS, Inc.

Negotiated rates from the hospital’s own file: 6 payers, 10 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	Excellus excellus bcbs medicaid fee schedule · both	$26	$26	—	—	—	$26 – $26
2	Excellus excellus bcbs medicaid hmo fee schedule · both	$26	$26	—	—	—	$26 – $26
3	UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges	$181	$181	—	—	—	$181 – $181
4	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$270	$270	—	—	—	$270 – $270
5	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$308	$308	—	—	—	$308 – $308
6	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$308	$308	—	—	—	$308 – $308
7	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$308	$308	—	—	—	$308 – $308
8	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$308	$308	—	—	—	$308 – $308
9	UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges	$330	$330	—	—	—	$330 – $330
10	Humana humana hmo/pos percent of total billed charges · bothfrom % of charges	$339	$339	—	—	—	$339 – $339

Last updated: Aug 7, 2026

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