Gadolinium MRI contrast agent, 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

GADOTERIDOL 279.3 MG/ML IV SOLN

Payers reporting HCPCS A9579

Payer pricing summary

Low

Average

$134

Median

$100

High

$926

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	274	$5	$36	$106	292%	406–541	$1 – $2.2k
2	Anthem fee schedule · outpatient · +16 other terms	96	$2	$12	$45	372%	395–1,196	$1 – $913
3	Premera fee schedule · both · +4 other terms	1	$1.5k	$1.5k	—	—	127	$1.5k – $1.5k
4	UnitedHealthcare fee schedule · outpatient · +27 other terms	450	$2	$49	$113	228%	120–1,065	$0 – $1.2k
5	Molina fee schedule · outpatient · +18 other terms	45	$4	$4	$13	351%	27–270	$1 – $168
6	Aetna fee schedule · outpatient · +26 other terms	151	$4	$28	$61	215%	22–31	$1 – $508
7	Kaiser fee schedule · both · +16 other terms	46	$2	$6	$38	631%	13–130	$1 – $349
8	Medica fee schedule · outpatient · +16 other terms	38	$10	$88	$116	131%	3–30	$1 – $558
9	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$26	$26	$26	101%	2–20	$2 – $65
10	Humana fee schedule · outpatient · +21 other terms	170	$2	$52	$71	138%	1–10	$1 – $389
11	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$843	$843	$379	45%	1–10	$465 – $1.2k
12	Cigna fee schedule · outpatient · +19 other terms	324	$3	$38	$143	374%	—	$1 – $2.1k
13	MultiPlan fee schedule · inpatient · +19 other terms	69	$194	$274	$330	121%	—	$1 – $2.4k
14	Caresource fee schedule · outpatient · +12 other terms	53	$3	$338	$180	53%	—	$1 – $435
15	Highmark facility · fee schedule · outpatient · +10 other terms	52	$3	$9	$9	105%	—	$1 – $40
16	First Health fee schedule · outpatient · +15 other terms	30	$173	$291	$359	124%	—	$4 – $2.3k
17	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$219	$166	$63	38%	—	$73 – $290
18	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	24	$124	$387	$893	231%	—	$12 – $6.0k
19	Phcs fee schedule · inpatient · +11 other terms	21	$112	$120	$80	66%	—	$7 – $471
20	Regence professional · fee schedule · outpatient · +14 other terms	21	$2	$2	$0	3%	—	$1 – $2
21	Tricare facility · fee schedule · outpatient · +9 other terms	21	$126	$196	$124	63%	—	$1 – $505
22	Healthpartners fee schedule · outpatient · +9 other terms	19	$2	$4	$9	209%	—	$2 – $45
23	Bcbs La fee schedule · outpatient · +2 other terms	18	$2	$2	$0	1%	—	$2 – $2
24	Bcbs Tx fee schedule · outpatient · +3 other terms	18	$8	$7	$2	22%	—	$4 – $10
25	Medicaid fee schedule · outpatient · +9 other terms	18	$13	$68	$170	250%	—	$1 – $709

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