Oral MRI contrast agent, 100 mL at Methodist Hospital Stone Oak

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

MR CONTRAST 100 ML PO

San Antonio, TX

See all hospitals reporting HCPCS Q9954 →

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Pricing by billing methodology

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How this price compares nationally

Methodist Hospital Stone Oak’s median price of $110 is 568% above the median hospital's median price ($17), higher than 97% of the 608 hospitals reporting HCPCS Q9954. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9954 at Methodist Hospital Stone Oak

Negotiated rates from the hospital’s own file: 5 payers, 17 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	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
2	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
3	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
4	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
5	Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
6	Blue Cross Blue Shield ppo fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
7	First Health chip percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
8	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
9	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
11	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
12	Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
13	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
14	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
15	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
16	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$282	$282	—	—	—	$282 – $282
17	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$319	$319	—	—	—	$319 – $319

Last updated: May 1, 2026

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