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
$1
Average
$97
Median
$8
High
$3.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
609 hospitals; the 90th percentile is 100.6× 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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706 hospital rates
iThe hospitals that file a Cigna 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 | 1 | $252 | $221 | $81 | 37% | 144,561 | $88 – $291 |
| 2 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $3 | $3 | — | — | 311 | $3 – $3 |
| 3 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 193 | $37 – $37 |
| 4 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 144 | $49 – $49 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 126 | $25 – $25 |
| 6 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $817 | $748 | $299 | 40% | 114 | $352 – $1.1k |
| 7 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $220 | $167 | $75 | 45% | 70 | $61 – $220 |
| 8 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | 33 | $29 – $29 |
| 9 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | 16 | $50 – $50 |
| 10 | Childrens Hospital Colorado Aurora, CO other · outpatient | 1 | $68 | $68 | — | — | 11 | $68 – $68 |
| 11 | Memorial Hospital of Laramie County Cheyenne, WY other · outpatient | 1 | $217 | $217 | — | — | 4–40 | $217 – $217 |
| 12 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $70 | $29 | 42% | 3–30 | $31 – $102 |
| 13 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $70 | $29 | 42% | 3–30 | $31 – $102 |
| 14 | Tyler Regional Hospital, LLC Tyler, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $354 | $380 | $113 | 30% | 2–20 | $254 – $592 |
| 15 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $472 | $472 | — | — | 1–10 | $472 – $472 |
| 16 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $472 | $472 | — | — | 1–10 | $472 – $472 |
| 17 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 18 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | 1–10 | $6 – $6 |
| 19 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 20 | ST HELENA HOSPITAL Vallejo, CA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 21 | Seton Medical Center Harker Heights Harker Heights, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $235 | $297 | $94 | 32% | 1–10 | $226 – $430 |
| 22 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $25 | $12 | 50% | — | $3 – $32 |
← Payers reporting HCPCS A9573 · Snapshot 20261111T120946Z-9134e7f7