Gadoteridol contrast injection (ProHance multipack), per milliliter at Baylor Scott & White Medical Center - Buda

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

gadoteridol 279.3 mg/mL intravenous solution

Buda, TX

See all hospitals reporting HCPCS A9576 →

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Pricing by billing methodology

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How this price compares nationally

Baylor Scott & White Medical Center - Buda’s median price of $274 is 10532% above the median hospital's median price ($3), higher than 93% of the 1,176 hospitals reporting HCPCS A9576. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9576 at Baylor Scott & White Medical Center - Buda

Negotiated rates from the hospital’s own file: 8 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	Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
2	UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
3	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges	$213	$213	—	—	—	$213 – $213
4	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges	$215	$215	—	—	—	$215 – $215
5	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
6	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
7	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges	$251	$251	—	—	—	$251 – $251
8	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges	$251	$251	—	—	—	$251 – $251
9	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
10	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$260	$260	—	—	—	$260 – $260
11	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges	$265	$265	—	—	—	$265 – $265
12	Cigna local plus facility · percent of total billed charges · inpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
13	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
14	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$280	$280	—	—	—	$280 – $280
15	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$280	$280	—	—	—	$280 – $280
16	Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$307	$307	—	—	—	$307 – $307
17	Cigna hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges	$322	$322	—	—	—	$322 – $322
18	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$322	$322	—	—	—	$322 – $322
19	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
20	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$331	$331	—	—	—	$331 – $331
21	Humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$355	$355	—	—	—	$355 – $355
22	Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$355	$355	—	—	—	$355 – $355

Last updated: Jun 13, 2026

Compare to other hospitals

See Gadoteridol contrast injection (ProHance multipack), per milliliter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.