MultiHance contrast agent injection, 15 mL at Boulder Community Health

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

gadobenate dimeglumine 529 mg/mL (0.1mmol/0.2mL) solution 15 mL Vial

Boulder, CO

See all hospitals reporting HCPCS A9577 →

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $77 is 866% above the median hospital's median price ($8), higher than 76% of the 1,614 hospitals reporting HCPCS A9577. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9577 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 24 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	UnitedHealthcare commercial professional · fee schedule · both	$2	$2	—	—	—	$2 – $2
2	Anthem commercial professional · fee schedule · both	$2	$2	—	—	—	$2 – $2
3	Anthem managed care professional · fee schedule · both	$2	$2	—	—	—	$2 – $2
4	Cigna commercial professional · fee schedule · both	$2	$2	—	—	—	$2 – $2
5	Humana medicare advantage professional · fee schedule · both	$2	$2	—	—	—	$2 – $2
6	UnitedHealthcare medicare advantage professional · fee schedule · both	$2	$2	—	—	—	$2 – $2
7	Aetna medicare advantage professional · fee schedule · both	$2	$2	—	—	—	$2 – $2
8	Cigna commercial facility · fee schedule · outpatient	$2	$2	$0	17%	—	$2 – $3
9	Aetna commercial professional · fee schedule · both	$3	$3	$1	31%	—	$2 – $3
10	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$46	$46	$3	7%	—	$42 – $49
11	Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges	$48	$48	—	—	—	$48 – $48
12	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$60	$69	$21	30%	—	$48 – $115
13	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
14	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
15	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
16	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
17	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
18	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$134	$134	—	—	—	$134 – $134
19	Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges	$134	$134	—	—	—	$134 – $134
20	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
21	Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
22	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
23	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
24	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$168	$168	—	—	—	$168 – $168

Last updated: Sep 16, 2026

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