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
GADOPICLENOL 0.5 MMOL/ML IV SOLN
Low
$0
Average
$135
Median
$18
High
$3.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
401 hospitals; the 90th percentile is 153.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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567 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $316 | $279 | $104 | 37% | 1,885 | $105 – $389 |
| 2 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $44 | $44 | — | — | 977 | $44 – $44 |
| 3 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 499 | $37 – $37 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $20 | $16 | 82% | 342 | $3 – $40 |
| 5 | Stanford Health Care Stanford, CA fee schedule · both | 1 | $11 | $11 | — | — | 311 | $11 – $11 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $7 | 65% | 296 | $3 – $19 |
| 7 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $807 | $739 | $295 | 40% | 209 | $348 – $1.1k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $0 | 7% | 101 | $5 – $6 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 3 | $14 | $12 | $6 | 50% | 71 | $4 – $21 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | 70 | $14 – $14 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $0 | 7% | 66 | $4 – $5 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $16 | $9 | 55% | 46 | $4 – $27 |
| 13 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | 38 | $31 – $31 |
| 14 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $0 | 2% | 30–48 | $7 – $7 |
| 15 | Duke Regional Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $8 | $8 | $1 | 9% | 16–43 | $7 – $9 |
| 16 | St. James Hospital Hornell, NY percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | 14 | $18 – $18 |
| 17 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $135 | $111 | 82% | 13 | $33 – $321 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $15 | $8 | 54% | 11 | $4 – $26 |
| 19 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 5 | $40 | $38 | $21 | 55% | 8–80 | $15 – $67 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 3 | $15 | $15 | $2 | 13% | 4–40 | $12 – $19 |
| 21 | Memorial Hospital of Laramie County Cheyenne, WY percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $295 | $238 | 81% | 4–40 | $69 – $695 |
| 22 | Pocatello Hospital, LLC Pocatello, ID facility · percent of total billed charges · bothfrom % of charges | 3 | $504 | $808 | $713 | 88% | 3–30 | $122 – $2.0k |
| 23 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $405 | $405 | — | — | 2–20 | $405 – $405 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $259 | $259 | $60 | 23% | 2–20 | $200 – $319 |
| 25 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $259 | $259 | $60 | 23% | 2–20 | $200 – $319 |
← Payers reporting HCPCS A9573 · Snapshot 20261111T120946Z-9134e7f7