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
GADOPENTETATE DIMEGLUMINE 10 MMOL/20 ML (469.01 MG/ML) INTRAVENOUS SYRG [97152]
Arlington, TX
See all hospitals reporting HCPCS A9579 →Price type
AMH Cath Labs LLC’s median price of $68 is 910% above the median hospital's median price ($7), higher than 77% of the 1,736 hospitals reporting HCPCS A9579. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield hmo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 5 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 6 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 9 | Blue Cross Blue Shield traditional fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
Last updated: Apr 21, 2026
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