MultiHance contrast agent injection, 15 mL at Central Georgia Rehabilitation LLC

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(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION

Macon, GA

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Pricing by billing methodology

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How this price compares nationally

Central Georgia Rehabilitation LLC’s median price of $99 is 1142% above the median hospital's median price ($8), higher than 80% 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 Central Georgia Rehabilitation LLC

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Cigna commercial fee schedule · both	$2	$2	—	—	—	$2 – $2
2	Anthem hmo/ppo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
3	Humana hmo/pos fee schedule · both	$8	$8	—	—	—	$8 – $8
4	Humana ppo fee schedule · both	$8	$8	—	—	—	$8 – $8
5	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$54	$54	$24	45%	—	$22 – $87
6	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$92	$92	$41	45%	—	$37 – $148
7	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$107	$107	$48	45%	—	$43 – $170
8	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$107	$107	$48	45%	—	$43 – $171
9	Aetna pos percent of total billed charges · outpatientfrom % of charges	$118	$118	$53	45%	—	$47 – $188
10	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$118	$118	$53	45%	—	$47 – $188
11	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$118	$118	$53	45%	—	$47 – $188
12	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$118	$118	$53	45%	—	$47 – $188
13	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$118	$118	$53	45%	—	$47 – $188
14	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$119	$119	$53	45%	—	$48 – $190
15	Humana ppo percent of total billed charges · outpatientfrom % of charges	$124	$124	$56	45%	—	$50 – $199
16	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$125	$125	$56	45%	—	$50 – $200
17	MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges	$145	$145	$65	45%	—	$58 – $231
18	MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges	$145	$145	$65	45%	—	$58 – $231
19	Beechstreet commercial percent of total billed charges · inpatientfrom % of charges	$168	$168	$75	45%	—	$67 – $269
20	Beechstreet commercial percent of total billed charges · outpatientfrom % of charges	$168	$168	$75	45%	—	$67 – $269

Last updated: Nov 19, 2025

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