Gastrografin oral contrast solution at St. Charles Madras

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 %

Madras, OR

See all hospitals reporting HCPCS Q9963 →

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How this price compares nationally

St. Charles Madras’s median price of $95 is 2882% above the median hospital's median price ($3), higher than 86% 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 St. Charles Madras

Negotiated rates from the hospital’s own file: 11 payers, 15 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 medicare percent of total billed charges · bothfrom % of charges	$44	$44	$21	49%	—	$23 – $65
2	Cigna medicare percent of total billed charges · bothfrom % of charges	$44	$44	$21	49%	—	$23 – $65
3	Devoted medicare percent of total billed charges · bothfrom % of charges	$44	$44	$21	49%	—	$23 – $65
4	Humana medicare percent of total billed charges · bothfrom % of charges	$44	$44	$21	49%	—	$23 – $65
5	Kaiser medicare percent of total billed charges · bothfrom % of charges	$44	$44	$21	49%	—	$23 – $65
6	Medicare medicare percent of total billed charges · bothfrom % of charges	$44	$44	$21	49%	60	$23 – $65
7	UnitedHealthcare medicare percent of total billed charges · bothfrom % of charges	$44	$44	$21	49%	—	$23 – $65
8	WellCare medicare percent of total billed charges · bothfrom % of charges	$44	$44	$21	49%	—	$23 – $65
9	Blue Cross Blue Shield blue cross medicare percent of total billed charges · bothfrom % of charges	$48	$48	$24	49%	—	$25 – $72
10	Tricare tricare percent of total billed charges · bothfrom % of charges	$57	$57	$28	49%	—	$30 – $85
11	Kaiser oregon medicaid cco percent of total billed charges · bothfrom % of charges	$75	$75	$37	49%	—	$39 – $112
12	Cigna cigna percent of total billed charges · bothfrom % of charges	$116	$116	$56	49%	—	$60 – $172
13	Kaiser first choice health network percent of total billed charges · bothfrom % of charges	$159	$159	$77	49%	—	$82 – $236
14	Aetna aetna percent of total billed charges · bothfrom % of charges	$160	$160	$78	49%	—	$82 – $237
15	First Health first health percent of total billed charges · bothfrom % of charges	$180	$180	$87	49%	—	$93 – $267

Last updated: Apr 1, 2026

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