Gastrografin oral contrast solution at Nash Hospitals

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 (37% ORGANICALLY BOUND IODINE)

Rocky Mount, NC

See all hospitals reporting HCPCS Q9963 →

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How this price compares nationally

Nash Hospitals’s median price of $72 is 2210% above the median hospital's median price ($3), higher than 80% of the 1,815 hospitals reporting HCPCS Q9963. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9963 at Nash Hospitals

Negotiated rates from the hospital’s own file: 7 payers, 13 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 commercial facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$62	$62	$10	15%	—	$52 – $71
3	Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$62	$62	$10	15%	—	$53 – $72
4	UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges	$62	$62	$10	15%	—	$53 – $72
5	WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$62	$62	$10	15%	—	$53 – $72
6	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$143	$143	$22	15%	—	$121 – $165
7	Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	$24	15%	—	$131 – $179
8	Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges	$210	$210	$32	15%	—	$177 – $242
9	Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges	$223	$223	$35	15%	—	$189 – $258
10	Medcost administrator id: 580 facility · percent of total billed charges · inpatientfrom % of charges	$251	$251	$39	15%	—	$212 – $290
11	Medcost administrator id: 580 facility · percent of total billed charges · outpatientfrom % of charges	$271	$271	$42	15%	—	$229 – $313
12	Medcost all other business/commercial facility · percent of total billed charges · inpatientfrom % of charges	$275	$275	$43	15%	—	$232 – $317
13	Medcost all other business/commercial facility · percent of total billed charges · outpatientfrom % of charges	$282	$282	$44	15%	—	$238 – $325

Last updated: Jun 18, 2026

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