MultiHance contrast agent injection, 15 mL

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN

Highmark pricing summary

Low

Average

$87

Median

High

$917

Highmark rate distribution

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119 hospital rates

#		Plans
1	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	11	$2	$2	$0	11%	—	$2 – $2
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	11	$2	$2	$0	11%	—	$2 – $2
3	Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges	1	$279	$270	$196	73%	—	$25 – $505
4	Beebe Medical Center Inc. Lewes, DE facility · fee schedule · outpatient	1	$9	$9	—	—	—	$9 – $9
5	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	1	$2	$2	—	—	—	$2 – $2
6	Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2
7	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	11	$2	$2	$0	11%	—	$2 – $2
8	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	11	$2	$2	$0	11%	—	$2 – $2
9	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$917	$917	—	—	—	$917 – $917
10	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	4	$129	$130	$75	58%	—	$19 – $248
11	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$917	$917	—	—	—	$917 – $917
12	Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges	2	$19	$19	$9	46%	—	$11 – $28
13	Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2
14	Davis Medical Center Elkins, WV professional · fee schedule · both	1	$2	$2	—	—	—	$2 – $2
15	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both	4	$2	$2	$0	6%	—	$2 – $2
16	Ephrata Community Hospital Ephrata, PA fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2
17	Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient	2	$2	$2	$0	9%	—	$2 – $2
18	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient	11	$2	$2	$0	11%	—	$2 – $2
19	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	11	$2	$2	$0	11%	—	$2 – $2
20	Gettysburg Hospital Gettysburg, PA fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2
21	Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges	3	$160	$160	$66	41%	—	$63 – $252
22	Hackettstown Medical Center Hackettstown, NJ other · outpatient	2	$917	$917	—	—	—	$917 – $917
23	Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both	1	$13	$13	$1	10%	—	$11 – $14
24	Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both	1	$13	$13	$1	10%	—	$11 – $14
25	Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both	1	$13	$13	$1	10%	—	$11 – $14

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← Payers reporting HCPCS A9577 · Snapshot 20261111T120946Z-9134e7f7

HCPCS A9577