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
RENOGRAFIN-76 1ML INJ
Muncy, PA
See all hospitals reporting HCPCS Q9963 →Price type
UPMC Muncy’s median price of $1 is 73% below the median hospital's median price ($3), higher than 41% of the 1,827 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: 7 payers, 28 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Highmark medicaid facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $1 | 88% | — | $0 – $2 |
| 3 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $1 | 88% | — | $0 – $2 |
| 4 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $1 | 87% | — | $0 – $2 |
| 5 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $1 | $1 | $1 | 88% | — | $0 – $2 |
| 6 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $3 | 88% | — | $0 – $6 |
| 7 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $3 | 87% | — | $0 – $6 |
| 8 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $3 | $3 | $3 | 87% | — | $0 – $6 |
| 9 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $3 | 88% | — | $0 – $7 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $3 | 87% | — | $0 – $7 |
| 11 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $4 | 88% | — | $1 – $8 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4 | $4 | $4 | 88% | — | $1 – $8 |
| 13 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $4 | $4 | $4 | 87% | — | $1 – $8 |
| 14 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $5 | $5 | $5 | 88% | — | $1 – $10 |
| 15 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $5 | 88% | — | $1 – $10 |
| 16 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $5 | $5 | $5 | 88% | — | $1 – $10 |
| 17 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $5 | 88% | — | $1 – $10 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $5 | $5 | $5 | 88% | — | $1 – $10 |
| 19 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $5 | 88% | — | $1 – $10 |
| 20 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $5 | $5 | $5 | 87% | — | $1 – $10 |
| 21 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $5 | 87% | — | $1 – $10 |
| 22 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $6 | $6 | $5 | 88% | — | $1 – $12 |
| 23 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $5 | 88% | — | $1 – $12 |
| 24 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $6 | $6 | $5 | 88% | — | $1 – $12 |
| 25 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $5 | 88% | — | $1 – $12 |
Last updated: Mar 6, 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.