Myths and untrue...
Welders grade is vacuumed out and then filled from the SAME exact source. The only difference is serialized tracking......thats it.....
I got that right from (2) different large O2 suppliers. They were honest....they told me point blank that the slight upcharge was for them to have lot/serial numbers on there......but that every tank they fill from the source is treated the same exact way.
Medical Grade...doesnt necessarily require a prescription....but Medical Oxygen treatment does - particularly if you want insurance to cover it. Some suppliers now have "Divers Grade"...which is their medical O2...with a different color tank and tracking mechanism.
There are more specs to O2. welding i think requires 99.4% pure. medical 80% pure with a vac then fill, aviation same as medical only low dewpoint. The bulk tank meets all the min requirements as it is like 99.99 pure. 99.9% does not allow for much moisture probably -200 degree f dew point. That leaves the only operational difference is the tracking and fill methods and cost.