Gadoxetate contrast injection, 10 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

GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN

Payers reporting HCPCS A9581

Payer pricing summary

Low

$15

Average

$245

Median

$190

High

$945

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	231	$34	$79	$139	176%	21–210	$1 – $771
2	Kaiser fee schedule · both · +16 other terms	46	$18	$28	$58	204%	19	$14 – $373
3	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$49	$49	—	—	18	$49 – $49
4	Florida Blue percent of total billed charges · bothfrom % of charges	1	$266	$266	$48	18%	11	$223 – $340
5	UnitedHealthcare fee schedule · outpatient · +28 other terms	476	$24	$62	$126	203%	3–30	$1 – $1.0k
6	Bcbs Al facility · other · outpatient · +1 other terms	4	$138	$138	$10	7%	1–10	$121 – $147
7	Cigna fee schedule · outpatient · +20 other terms	335	$27	$61	$106	173%	—	$1 – $1.1k
8	Aetna fee schedule · outpatient · +25 other terms	162	$39	$95	$163	171%	—	$1 – $1.1k
9	Humana fee schedule · outpatient · +18 other terms	162	$15	$70	$93	131%	—	$1 – $396
10	Anthem fee schedule · outpatient · +22 other terms	99	$19	$42	$113	267%	—	$14 – $771
11	MultiPlan fee schedule · inpatient · +16 other terms	53	$435	$443	$368	83%	—	$10 – $1.6k
12	Highmark facility · fee schedule · outpatient · +14 other terms	52	$16	$35	$25	72%	—	$13 – $140
13	Caresource fee schedule · outpatient · +11 other terms	50	$25	$248	$207	84%	—	$1 – $435
14	Molina fee schedule · outpatient · +19 other terms	44	$28	$42	$93	224%	—	$1 – $742
15	Medica fee schedule · outpatient · +16 other terms	35	$24	$52	$108	206%	—	$5 – $623
16	Bcbs Tx fee schedule · outpatient · +4 other terms	25	$72	$67	$21	31%	—	$26 – $112
17	First Health fee schedule · outpatient · +14 other terms	23	$382	$375	$315	84%	—	$25 – $1.4k
18	Medcost percent of total billed charges · bothfrom % of charges · +6 other terms	23	$197	$601	$235	39%	—	$32 – $784
19	Tricare facility · fee schedule · outpatient · +12 other terms	22	$79	$310	$328	106%	—	$13 – $913
20	Medicaid fee schedule · outpatient · +8 other terms	21	$9	$56	$153	272%	—	$1 – $742
21	Regence professional · fee schedule · outpatient · +15 other terms	21	$15	$15	$1	4%	—	$15 – $18
22	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	20	$823	$832	$261	31%	—	$549 – $1.6k
23	Oscar facility · fee schedule · outpatient · +12 other terms	19	$16	$17	$1	8%	—	$15 – $18
24	Healthpartners fee schedule · outpatient · +11 other terms	18	$18	$18	$0	2%	—	$17 – $18
25	Phcs fee schedule · inpatient · +12 other terms	16	$242	$257	$221	86%	—	$19 – $636

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