Gadobutrol 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

Inj Gadobutrol, 0.1ml

Payers reporting HCPCS A9585

Payer pricing summary

Low

Average

$167

Median

$120

High

$882

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +28 other terms	438	$0	$25	$108	438%	1,181–1,280	$0 – $939
2	Premera fee schedule · both · +6 other terms	2	$1.2k	$1.3k	$274	22%	488–623	$951 – $1.5k
3	Optum professional · fee schedule · outpatient · +16 other terms	18	$14	$11	$6	55%	268	$0 – $21
4	Kaiser fee schedule · both · +15 other terms	43	$0	$11	$59	536%	217	$0 – $341
5	Wellmark outpatient · +11 other terms	16	$457	$438	$218	50%	151–322	$48 – $747
6	Medica fee schedule · outpatient · +18 other terms	64	$3	$23	$48	210%	58–364	$0 – $279
7	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	232	$1	$13	$58	439%	6–60	$0 – $771
8	Humana fee schedule · outpatient · +21 other terms	163	$0	$15	$30	192%	3–30	$0 – $251
9	Cigna fee schedule · outpatient · +20 other terms	314	$0	$68	$1.2k	1735%	—	$0 – $26.3k
10	Aetna fee schedule · outpatient · +25 other terms	143	$1	$35	$140	399%	—	$0 – $1.1k
11	Anthem fee schedule · outpatient · +23 other terms	86	$0	$9	$73	770%	—	$0 – $826
12	Caresource fee schedule · outpatient · +12 other terms	48	$0	$134	$190	142%	—	$0 – $435
13	Highmark facility · fee schedule · outpatient · +14 other terms	38	$0	$2	$2	122%	—	$0 – $10
14	MultiPlan fee schedule · outpatient · +14 other terms	36	$98	$549	$3.8k	683%	—	$2 – $36.8k
15	Medcost percent of total billed charges · bothfrom % of charges · +6 other terms	34	$119	$254	$146	58%	—	$1 – $459
16	Molina fee schedule · outpatient · +18 other terms	33	$1	$1	$1	155%	—	$0 – $11
17	Bcbs Tx fee schedule · outpatient · +2 other terms	29	$2	$2	$1	34%	—	$1 – $3
18	Regence professional · fee schedule · outpatient · +14 other terms	21	$0	$0	$0	3%	—	$0 – $0
19	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	20	$236	$236	$322	136%	—	$40 – $3.4k
20	Medicaid fee schedule · outpatient · +7 other terms	20	$2	$4	$7	190%	—	$1 – $29
21	Oscar facility · fee schedule · outpatient · +11 other terms	20	$0	$0	$0	3%	—	$0 – $0
22	Healthpartners fee schedule · outpatient · +12 other terms	19	$0	$1	$4	550%	—	$0 – $42
23	Bcbs La fee schedule · outpatient · +2 other terms	17	$0	$0	$0	10%	—	$0 – $0
24	First Health fee schedule · outpatient · +14 other terms	16	$58	$1.4k	$6.0k	413%	—	$1 – $31.9k
25	Phcs fee schedule · inpatient · +11 other terms	16	$82	$83	$43	51%	—	$1 – $179

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