What does code Q9963 cost?

Across the published hospital price files, the disclosed cash price for Q9963 ranges from $0.49 to $143. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

Q9963 is the billing code hospitals use to identify "HC SINOGRAFIN PER ML" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Q9963

HCPCS

HC SINOGRAFIN PER ML

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code Q9963 (HC SINOGRAFIN PER ML) appears at 35 hospitals with disclosed cash prices from $0.49 to $143. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare Q9963 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code Q9963 vary by about 291× across the 34 hospitals with disclosed prices here — from $0.49 to $143. Shopping around can matter.

Hospitals

Prices shown

$0.49

Lowest cash

$143

Highest cash

code Q9963 cash price76 disclosed · 34 hospitals

$0.49median ~$30.00$143

Lowest cash price by hospital

Aurora Medical Center Fond du Lac$0.49
Aurora Medical Center Grafton$0.57
Aurora Medical Center Kenosha$0.72
Endeavor Health Edward Hospital$0.91
Aurora Medical Center Bay Area$1.78
Texas Health Presbyterian Hospital Allen$3.00

Cash price by city

Reflects your current filters.

Cash price by city$0.49 – $143

Fond Du Lac · 1 hospital$0.49
Grafton · 1 hospital$0.57
Kenosha · 1 hospital$0.72
Naperville · 1 hospital$0.91–$26.00
Marinette · 1 hospital$1.78
Allen · 1 hospital$3.00–$143

78 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC SINOGRAFIN PER ML Inpatient & outpatient	Endeavor Health Edward Hospital	Q9963 HCPCS	$26.00	$26.00	—	—
Gastrografin: 24 Bottle In 1 Box (0270-0445-35) / 30 Ml In 1 Bottle Inpatient & outpatient	Endeavor Health Edward Hospital	Q9963 HCPCS	$0.91	$0.91	—	—
HOCM 350-399mg/ml iodine,1ml Outpatient	Endeavor Health Edward Hospital	Q9963 HCPCS	—	—	$1.10 – $1.10	—
HOCM 350-399mg/ml iodine,1ml Outpatient	University of Chicago Medical Center	Q9963 HCPCS	—	—	—	—
GASTROGRAFIN 66-10 % PO SOLN Inpatient	Aurora Medical Center Bay Area	Q9963 HCPCS	$3.55	$1.78	$2.13 – $3.00	—
GASTROGRAFIN 66-10 % PO SOLN Inpatient	Aurora Medical Center Fond du Lac	Q9963 HCPCS	$0.97	$0.49	$0.58 – $0.82	—
GASTROGRAFIN 66-10 % PO SOLN Inpatient	Aurora Medical Center Grafton	Q9963 HCPCS	$1.14	$0.57	$0.68 – $0.97	—
GASTROGRAFIN 66-10 % PO SOLN Inpatient	Aurora Medical Center Kenosha	Q9963 HCPCS	$1.44	$0.72	$0.86 – $1.22	—
diatrizoate meglumine and diatrizoate sodium 66-10 % Solution 120 mL Bottle Inpatient	Froedtert West Bend Hospital	Q9963 HCPCS	$249	$137	$125 – $237	—
diatrizoate meglumine and diatrizoate sodium 66-10 % Solution 30 mL Bottle Inpatient	Froedtert Holy Family Memorial Hospital	Q9963 HCPCS	$89.63	$49.30	$44.82 – $78.87	—
diatrizoate meglumine and diatrizoate sodium 66-10 % Solution 120 mL Bottle Inpatient	Froedtert Holy Family Memorial Hospital	Q9963 HCPCS	$249	$137	$125 – $219	—
DIATRIZOATE MEGLUMINE & SODIUM 66-10 % PO SOLN Inpatient	Henderson Hospital	Q9963 HCPCS	$189	$56.55	$54.67 – $183	—
DIATRIZOATE MEGLUMINE & SODIUM 66-10 % PO SOLN Inpatient	Deaconess Gibson Hospital	Q9963 HCPCS	$160	$84.59	$84.59 – $144	—
DIATRIZOATE MEGLUMINE & SODIUM 66-10 % PO SOLN Outpatient	The Women's Hospital	Q9963 HCPCS	$208	$123	$0.22 – $177	—
DIATRIZOATE MEGLUMINE & SODIUM 66-10 % PO SOLN Inpatient	Deaconess Illinois Medical Center	Q9963 HCPCS	$276	$52.40	$52.39 – $248	—
DIATRIZOATE MEGLUMINE & NA (GASTROGRAFIN) (RADIOLOGY) 30 ML Inpatient & outpatient	Stanford Health Care Tri-Valley	Q9963 HCPCS	$207	$82.80	—	—
DIATRIZOATE AND IODIPAMIDE MEG 52.7-26.8 % INJECTION SOLN [11459] Outpatient	Texas Health Presbyterian Hospital Allen	Q9963 HCPCS	$5.00	$3.00	$0.25 – $4.71	—
DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLN [3655] Outpatient	Texas Health Presbyterian Hospital Allen	Q9963 HCPCS	$50.00	$30.00	$0.25 – $47.05	—
DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % INJECTION SOLN [8181] Outpatient	Texas Health Presbyterian Hospital Allen	Q9963 HCPCS	$238	$143	$0.25 – $223	—
DIATRIZOATE AND IODIPAMIDE MEG 52.7-26.8 % INJECTION SOLN [11459] Outpatient	Texas Health Harris Methodist Hospital Alliance	Q9963 HCPCS	$5.00	$3.00	$0.25 – $4.71	—
DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLN [3655] Outpatient	Texas Health Harris Methodist Hospital Alliance	Q9963 HCPCS	$50.00	$30.00	$0.25 – $47.05	—
DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % INJECTION SOLN [8181] Outpatient	Texas Health Harris Methodist Hospital Alliance	Q9963 HCPCS	$238	$143	$0.25 – $223	—
DIATRIZOATE AND IODIPAMIDE MEG 52.7-26.8 % INJECTION SOLN [11459] Inpatient	Texas Health Arlington Memorial Hospital	Q9963 HCPCS	$5.00	$3.00	$1.73 – $4.71	—
DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % ORAL SOLN [3655] Inpatient	Texas Health Arlington Memorial Hospital	Q9963 HCPCS	$50.00	$30.00	$17.29 – $47.05	—
DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % INJECTION SOLN [8181] Inpatient	Texas Health Arlington Memorial Hospital	Q9963 HCPCS	$238	$143	$82.13 – $223	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish Q9963 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Henderson Hospital Deaconess Gibson Hospital The Women's Hospital Deaconess Illinois Medical Center Stanford Health Care Tri-Valley Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Texas Health Arlington Memorial Hospital Texas Health Harris Methodist Hospital Azle Texas Health Harris Methodist Hospital Cleburne Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Presbyterian Hospital Flower Mound Texas Health Harris Methodist Hospital Fort Worth Texas Health Hospital Frisco Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Texas Health Presbyterian Hospital Plano Texas Health Hospital Rockwall Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Springwood Hospital Hurst-Euless-Bedford Texas Health Harris Methodist Hospital Stephenville Atrium Health Anson Atrium Health Lincoln

Code Q9963: frequently asked

What does code Q9963 cost?: Across the published hospital price files, the disclosed cash price for Q9963 ranges from $0.49 to $143. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code Q9963?: Q9963 is the billing code hospitals use to identify "HC SINOGRAFIN PER ML" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code Q9963 by state

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