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
gadopiclenol 0.5 mmol/mL intravenous solution
Buda, TX
See all hospitals reporting HCPCS A9573 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $417 is 5697% above the median hospital's median price ($7), higher than 95% of the 1,139 hospitals reporting HCPCS A9573. 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, 19 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $126 | $126 | $55 | 43% | — | $72 – $181 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $135 | $135 | $58 | 43% | — | $77 – $194 |
| 3 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges | $473 | $473 | $205 | 43% | — | $268 – $678 |
| 4 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $479 | $479 | $207 | 43% | — | $272 – $687 |
| 5 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $484 | $484 | $209 | 43% | — | $274 – $693 |
| 6 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $484 | $484 | $209 | 43% | — | $274 – $693 |
| 7 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $488 | $488 | $211 | 43% | — | $277 – $699 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $518 | $518 | $225 | 43% | — | $294 – $743 |
| 9 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges | $557 | $557 | $241 | 43% | — | $316 – $799 |
| 10 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $557 | $557 | $241 | 43% | — | $316 – $799 |
| 11 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $564 | $564 | $244 | 43% | — | $320 – $808 |
| 12 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $570 | $570 | $247 | 43% | — | $323 – $817 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $578 | $578 | $250 | 43% | — | $328 – $829 |
| 14 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $589 | $589 | $255 | 43% | — | $334 – $844 |
| 15 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $684 | $684 | $296 | 43% | — | $388 – $980 |
| 16 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $684 | $684 | $296 | 43% | — | $388 – $980 |
| 17 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $736 | $736 | $319 | 43% | — | $417 – $1.1k |
| 18 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $736 | $736 | $319 | 43% | — | $417 – $1.1k |
| 19 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $736 | $736 | $319 | 43% | — | $417 – $1.1k |
Last updated: Jun 13, 2026
See Gadopiclenol contrast injection, per milliliter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.