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
HC MRI W/ CONTRAST, BREAST - UNILATERAL
Buda, TX
See all hospitals reporting HCPCS C8903 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $745 is 145% above the median hospital's median price ($305), higher than 76% of the 1,350 hospitals reporting HCPCS C8903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 24 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 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 2 | Humana medicare facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 3 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 4 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 5 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 6 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 7 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 8 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $291 | $291 | — | — | — | $291 – $291 |
| 9 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $313 | $313 | — | — | — | $313 – $313 |
| 10 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $335 | $335 | — | — | — | $335 – $335 |
| 11 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $612 | $612 | — | — | — | $612 – $612 |
| 12 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $620 | $620 | — | — | — | $620 – $620 |
| 13 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $709 | $709 | — | — | — | $709 – $709 |
| 14 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $745 | $745 | — | — | — | $745 – $745 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Cigna local plus facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 21 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | Cigna hmo/ppo facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 24 | UnitedHealthcare commercial facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Jun 13, 2026
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