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
Macon, GA
See all hospitals reporting HCPCS A9573 →Price type
Central Georgia Rehabilitation LLC’s median price of $201 is 2695% above the median hospital's median price ($7), higher than 91% 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 | Humana hmo/pos fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Humana ppo fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $93 | $147 | $94 | 64% | — | $70 – $279 |
| 4 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $147 | $234 | $149 | 64% | — | $111 – $442 |
| 5 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $158 | $250 | $159 | 64% | — | $118 – $474 |
| 6 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $182 | $289 | $184 | 64% | — | $137 – $547 |
| 7 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $183 | $289 | $184 | 64% | — | $137 – $548 |
| 8 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $201 | $319 | $203 | 64% | — | $151 – $604 |
| 9 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $201 | $319 | $203 | 64% | — | $151 – $604 |
| 10 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $201 | $319 | $203 | 64% | — | $151 – $604 |
| 11 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $201 | $319 | $203 | 64% | — | $151 – $604 |
| 12 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $201 | $319 | $203 | 64% | — | $151 – $604 |
| 13 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $204 | $323 | $205 | 64% | — | $153 – $611 |
| 14 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $213 | $337 | $214 | 64% | — | $160 – $638 |
| 15 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $214 | $338 | $215 | 64% | — | $160 – $641 |
| 16 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $248 | $392 | $249 | 64% | — | $186 – $743 |
| 17 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $248 | $392 | $249 | 64% | — | $186 – $743 |
| 18 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $288 | $456 | $290 | 64% | — | $216 – $864 |
| 19 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $288 | $456 | $290 | 64% | — | $216 – $864 |
Last updated: Nov 19, 2025
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.