Gastrografin oral contrast solution at Spohn Hospital Beeville

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

diatrizoate meglumine & sodium (37% iodine) (GASTROGRAFIN) 66-10 % solution

Beeville, TX

See all hospitals reporting HCPCS Q9963 →

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How this price compares nationally

Spohn Hospital Beeville’s median price of $130 is 3957% above the median hospital's median price ($3), higher than 91% of the 1,827 hospitals reporting HCPCS Q9963. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9963 at Spohn Hospital Beeville

Negotiated rates from the hospital’s own file: 11 payers, 26 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	Aetna mm fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare all payer fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	UnitedHealthcare hix fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Humana choicecare fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Bcbs Tx blue advantage hmo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
6	Bcbs Tx hmo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
7	Bcbs Tx heb fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
8	Cigna ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
9	Bcbs Tx ppo fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
10	Bcbs Tx traditional fee schedule · outpatient	$1	$1	—	—	—	$1 – $1
11	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$55	$55	$33	60%	—	$22 – $87
12	UnitedHealthcare star kids km percent of total billed charges · outpatientfrom % of charges	$55	$55	$33	60%	—	$22 – $87
13	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$55	$55	$33	60%	—	$22 – $87
14	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$55	$55	$33	60%	—	$22 – $87
15	Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges	$96	$96	$57	60%	—	$38 – $153
16	Molina chip km percent of total billed charges · outpatientfrom % of charges	$205	$205	$123	60%	—	$82 – $328
17	Molina star km percent of total billed charges · outpatientfrom % of charges	$205	$205	$123	60%	—	$82 – $328
18	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$205	$205	$123	60%	—	$82 – $328
19	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$205	$205	$123	60%	—	$82 – $328
20	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$205	$205	$123	60%	—	$82 – $328
21	Cigna new business percent of total billed charges · outpatientfrom % of charges	$266	$266	$160	60%	—	$107 – $426
22	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$307	$307	$184	60%	—	$123 – $492
23	Devoted mm percent of total billed charges · outpatientfrom % of charges	$342	$342	$205	60%	—	$137 – $547
24	First Health ppo percent of total billed charges · outpatientfrom % of charges	$444	$444	$266	60%	—	$178 – $711
25	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$444	$444	$266	60%	—	$178 – $711

Page 1 of 2 · 26 rates

Last updated: Jan 13, 2026

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