Fluorescein dye injection for eye imaging 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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Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

fluorescein 500 mg/5 mL (10 %) intravenous solution

Buda, TX

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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 $160 is 51% above the median hospital's median price ($106), higher than 67% of the 455 hospitals reporting HCPCS A9612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9612 at Baylor Scott & White Medical Center - Buda

Negotiated rates from the hospital’s own file: 8 payers, 16 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	$34	$34	$5	14%	—	$30 – $39
2	UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	$5	14%	—	$32 – $42
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 · outpatientfrom % of charges	$104	$104	$14	14%	—	$90 – $118
4	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	$122	$122	$17	14%	—	$105 – $139
5	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$131	$131	$18	14%	—	$113 – $149
6	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$131	$131	$18	14%	—	$113 – $149
7	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$132	$132	$18	14%	—	$114 – $150
8	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	$19	14%	—	$121 – $160
9	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges	$151	$151	$21	14%	—	$130 – $172
10	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	$21	14%	—	$133 – $176
11	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$157	$157	$21	14%	—	$135 – $178
12	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges	$160	$160	$22	14%	—	$138 – $181
13	Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$185	$185	$25	14%	—	$160 – $211
14	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$200	$200	$27	14%	—	$172 – $227
15	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$200	$200	$27	14%	—	$172 – $227
16	Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$200	$200	$27	14%	—	$172 – $227

Last updated: Jun 13, 2026

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