Gastrografin oral contrast solution at St Michael's Hospital

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 Meglum/Sod 120ML

Tyndall, SD

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How this price compares nationally

St Michael's Hospital’s median price of $721 is 22438% above the median hospital's median price ($3), higher than 98% 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 St Michael's Hospital

Negotiated rates from the hospital’s own file: 4 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	Medica com fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
2	Medica ind fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
3	Medica ind percent of total billed charges · inpatientfrom % of charges	$520	$520	—	—	—	$520 – $520
4	Medica com percent of total billed charges · inpatientfrom % of charges	$618	$618	—	—	—	$618 – $618
5	UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges	$682	$682	—	—	—	$682 – $682
6	UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges	$682	$682	—	—	—	$682 – $682
7	Healthpartners com percent of total billed charges · inpatientfrom % of charges	$760	$760	—	—	—	$760 – $760
8	Healthpartners com percent of total billed charges · outpatientfrom % of charges	$760	$760	—	—	—	$760 – $760
9	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$800	$800	—	—	—	$800 – $800
10	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$800	$800	—	—	—	$800 – $800

Last updated: Apr 1, 2026

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