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.
Original text from hospital filings
DIATRIZOATE MEGLUMINE & SODIUM 66-10 % OR SOLN [47078]
Gary, IN
See all hospitals reporting HCPCS Q9963 →Price type
The Methodist Hospitals, Inc.’s median price of $2 is 27% below the median hospital's median price ($3), higher than 49% of the 1,837 hospitals reporting HCPCS Q9963. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 22 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 hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem individual on exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Anthem medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Anthem pathway essentials facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Caresource caresource facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Cigna hmo facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Cigna ppo facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Humana medicare advantage facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Medicare medicare facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 13 | UnitedHealthcare navigate and core payer facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 16 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 18 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · other · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 19 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $435 | $435 | — | — | — | $435 – $435 |
| 20 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $435 | $435 | — | — | — | $435 – $435 |
| 21 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $435 | $435 | — | — | — | $435 – $435 |
| 22 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $435 | $435 | — | — | — | $435 – $435 |
Last updated: Aug 18, 2026
See Gastrografin oral contrast solution pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.