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 (Vueway) 0.5 MMOL/ML injection 4 mL
Orange, TX
See all hospitals reporting HCPCS A9573 →Price type
CHRISTUS Hospital - Orange’s median price of $314 is 4260% above the median hospital's median price ($7), higher than 93% 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: 11 payers, 23 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 all payer fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Bcbs Tx heb fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Bcbs Tx ppo fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 7 | Bcbs Tx traditional fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 8 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $108 | $106 | $27 | 25% | — | $60 – $149 |
| 9 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $108 | $106 | $27 | 25% | — | $60 – $149 |
| 10 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $108 | $106 | $27 | 25% | — | $60 – $149 |
| 11 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $108 | $106 | $27 | 25% | — | $60 – $149 |
| 12 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $260 | $255 | $65 | 25% | — | $144 – $357 |
| 13 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $325 | $319 | $81 | 25% | — | $179 – $446 |
| 14 | Molina star km percent of total billed charges · outpatientfrom % of charges | $325 | $319 | $81 | 25% | — | $179 – $446 |
| 15 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $325 | $319 | $81 | 25% | — | $179 – $446 |
| 16 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $423 | $415 | $105 | 25% | — | $233 – $580 |
| 17 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $488 | $478 | $121 | 25% | — | $269 – $670 |
| 18 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $542 | $531 | $135 | 25% | — | $299 – $744 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $650 | $638 | $161 | 25% | — | $359 – $893 |
| 20 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $650 | $638 | $161 | 25% | — | $359 – $893 |
| 21 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $705 | $691 | $175 | 25% | — | $389 – $967 |
| 22 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $705 | $691 | $175 | 25% | — | $389 – $967 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $705 | $691 | $175 | 25% | — | $389 – $967 |
Last updated: Jan 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.