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
arsenic trioxide 2 mg/mL intravenous solution
Buda, TX
See all hospitals reporting HCPCS J9017 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $808 is 3040% above the median hospital's median price ($26), higher than 86% of the 1,768 hospitals reporting HCPCS J9017. 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, 19 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 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · inpatient | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · inpatient | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 5 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $211 | $243 | $138 | 57% | — | $92 – $426 |
| 6 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $225 | $260 | $148 | 57% | — | $99 – $456 |
| 7 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $808 | $931 | $530 | 57% | — | $353 – $1.6k |
| 8 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $808 | $931 | $530 | 57% | — | $353 – $1.6k |
| 9 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $815 | $939 | $534 | 57% | — | $356 – $1.6k |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $866 | $998 | $568 | 57% | — | $379 – $1.8k |
| 11 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $931 | $1.1k | $610 | 57% | — | $407 – $1.9k |
| 12 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $952 | $1.1k | $624 | 57% | — | $416 – $1.9k |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $966 | $1.1k | $633 | 57% | — | $422 – $2.0k |
| 14 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $983 | $1.1k | $645 | 57% | — | $430 – $2.0k |
| 15 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.3k | $749 | 57% | — | $499 – $2.3k |
| 16 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.3k | $749 | 57% | — | $499 – $2.3k |
| 17 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.4k | $806 | 57% | — | $537 – $2.5k |
| 18 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.4k | $806 | 57% | — | $537 – $2.5k |
| 19 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.4k | $806 | 57% | — | $537 – $2.5k |
Last updated: Jun 13, 2026
See Arsenic trioxide injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.