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
Multihance
Low
$3
Average
$69
Median
$4
High
$750
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 2.2× 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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24 hospital rates
iThe hospitals that file a Medical Mutual 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 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $750 | $750 | — | — | — | $750 – $750 |
| 2 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $750 | $750 | — | — | — | $750 – $750 |
| 3 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 4 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 5 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 6 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 7 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 8 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 9 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 10 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $5 | $5 | $0 | 8% | — | $5 – $5 |
| 11 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 2 | $3 | $3 | $0 | 14% | — | $2 – $3 |
| 12 | Selby General Hospital Marietta, OH facility · fee schedule · outpatient | 2 | $5 | $5 | $0 | 8% | — | $5 – $5 |
| 13 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 3 | $5 | $5 | $0 | 8% | — | $5 – $6 |
| 14 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 3 | $5 | $5 | $0 | 8% | — | $4 – $5 |
| 15 | University Hospitals Health System Chardon, OH facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | University Hospitals Health System Chardon, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $0 | 5% | — | $6 – $6 |
| 17 | University Hospitals Health System Geneva, OH facility · fee schedule · outpatient | 3 | $6 | $6 | $1 | 8% | — | $6 – $7 |
| 18 | University Hospitals Health System Conneaut, OH facility · fee schedule · outpatient | 3 | $7 | $7 | $1 | 8% | — | $6 – $7 |
| 19 | University Hospitals Health System Cleveland, OH facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | University Hospitals Health System Parma, OH facility · fee schedule · outpatient | 3 | $4 | $4 | $0 | 8% | — | $3 – $4 |
| 21 | University Hospitals Health System Ashland, OH facility · fee schedule · outpatient | 3 | $5 | $5 | $0 | 8% | — | $4 – $5 |
| 22 | University Hospitals Health System Westlake, OH facility · fee schedule · outpatient | 3 | $3 | $3 | $0 | 8% | — | $3 – $4 |
| 23 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 3 | $4 | $4 | $0 | 8% | — | $4 – $5 |
| 24 | University Hospitals Health System Elyria, OH facility · fee schedule · outpatient | 3 | $4 | $4 | $0 | 8% | — | $3 – $4 |
← Payers reporting HCPCS A9578 · Snapshot 20261111T120946Z-9134e7f7