Gastrografin oral contrast solution 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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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

diatrizoate meglumine-diatrizoate sodium 66 %-10 % oral solution

Buda, TX

See all hospitals reporting HCPCS Q9963 →

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Pricing by billing methodology

Price type

How this price compares nationally

Baylor Scott & White Medical Center - Buda’s median price of $25 is 681% above the median hospital's median price ($3), higher than 65% of the 1,837 hospitals reporting HCPCS Q9963. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9963 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	$10	$10	$6	60%	—	$4 – $16
2	UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$11	$11	$6	60%	—	$4 – $17
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	$37	$37	$22	60%	—	$15 – $60
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	$38	$38	$23	60%	—	$15 – $61
5	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	$23	60%	—	$15 – $61
6	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	$23	60%	—	$15 – $61
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	$44	$44	$26	60%	—	$17 – $70
8	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges	$44	$44	$26	60%	—	$17 – $70
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	$44	$44	$27	60%	—	$18 – $71
10	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$46	$46	$27	60%	—	$18 – $73
11	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges	$46	$46	$28	60%	—	$18 – $74
12	Cigna local plus facility · percent of total billed charges · inpatientfrom % of charges	$48	$48	$29	60%	—	$19 – $77
13	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$48	$48	$29	60%	—	$19 – $77
14	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$49	$49	$30	60%	—	$20 – $79
15	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	$30	60%	—	$20 – $79
16	Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$54	$54	$32	60%	—	$21 – $86
17	Cigna hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges	$56	$56	$34	60%	—	$22 – $90
18	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$56	$56	$34	60%	—	$22 – $90
19	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$58	$58	$35	60%	—	$23 – $93
20	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	$35	60%	—	$23 – $93
21	Humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$62	$62	$37	60%	—	$25 – $100
22	Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$62	$62	$37	60%	—	$25 – $100

Last updated: Jun 13, 2026

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