Omnipaque oral imaging contrast liquid, 500 mL at Southeast Texas - Jasper Memorial

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

barium sulfate (LIQUID E-Z-PAQUE) 60 % suspension 355 mL

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $49 is 21% above the median hospital's median price ($40), higher than 56% of the 524 hospitals reporting HCPCS A9698. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9698 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 11 payers, 21 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	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$12	$29	$35	122%	—	$5 – $107
2	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$12	$29	$35	122%	—	$5 – $107
3	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$12	$29	$35	122%	—	$5 – $107
4	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$12	$29	$35	122%	—	$5 – $107
5	Aetna mm percent of total billed charges · outpatientfrom % of charges	$21	$49	$61	122%	—	$9 – $183
6	Molina chip km percent of total billed charges · outpatientfrom % of charges	$26	$62	$76	122%	—	$11 – $228
7	Molina star km percent of total billed charges · outpatientfrom % of charges	$26	$62	$76	122%	—	$11 – $228
8	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$26	$62	$76	122%	—	$11 – $228
9	Cigna new business percent of total billed charges · outpatientfrom % of charges	$34	$80	$98	122%	—	$14 – $297
10	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$39	$93	$114	122%	—	$16 – $343
11	Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges	$40	$95	$116	122%	—	$17 – $350
12	Devoted mm percent of total billed charges · outpatientfrom % of charges	$43	$103	$126	122%	—	$18 – $381
13	Bcbs Tx heb percent of total billed charges · outpatientfrom % of charges	$45	$107	$131	122%	—	$19 – $396
14	Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges	$45	$107	$131	122%	—	$19 – $396
15	Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges	$50	$120	$146	122%	—	$21 – $442
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$52	$124	$151	122%	—	$22 – $457
17	Humana choicecare percent of total billed charges · outpatientfrom % of charges	$52	$124	$151	122%	—	$22 – $457
18	Bcbs Tx traditional percent of total billed charges · outpatientfrom % of charges	$53	$126	$154	122%	—	$22 – $465
19	First Health ppo percent of total billed charges · outpatientfrom % of charges	$56	$134	$164	122%	—	$24 – $495
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$56	$134	$164	122%	—	$24 – $495
21	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$56	$134	$164	122%	—	$24 – $495

Last updated: Jan 13, 2026

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