MultiHance contrast agent injection, 15 mL at Columbia Lutheran Charities

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 Sol 20mL [CMH]

Astoria, OR

See all hospitals reporting HCPCS A9577 →

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How this price compares nationally

Columbia Lutheran Charities’s median price of $241 is 2916% above the median hospital's median price ($8), higher than 90% 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 Columbia Lutheran Charities

Negotiated rates from the hospital’s own file: 9 payers, 14 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	Molina molina ma - medicare advantage facility · percent of total billed charges · bothfrom % of charges	$120	$125	$25	20%	—	$98 – $158
2	Regence medicare facility · percent of total billed charges · bothfrom % of charges	$120	$125	$25	20%	—	$98 – $158
3	Tricare military facility · percent of total billed charges · bothfrom % of charges	$120	$125	$25	20%	—	$98 – $158
4	UnitedHealthcare medicare facility · percent of total billed charges · bothfrom % of charges	$120	$125	$25	20%	—	$98 – $158
5	Aetna aetna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges	$124	$129	$26	20%	—	$100 – $162
6	Cigna cigna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges	$126	$132	$26	20%	—	$102 – $166
7	Molina medicaid facility · percent of total billed charges · bothfrom % of charges	$150	$156	$31	20%	—	$122 – $197
8	Regence commercial facility · percent of total billed charges · bothfrom % of charges	$298	$310	$62	20%	—	$241 – $391
9	First Health first health/coventry - commercial facility · percent of total billed charges · bothfrom % of charges	$301	$313	$62	20%	—	$244 – $395
10	Premera bc premera lifewise - commercial facility · percent of total billed charges · bothfrom % of charges	$318	$331	$66	20%	—	$257 – $417
11	UnitedHealthcare commercial facility · percent of total billed charges · bothfrom % of charges	$318	$331	$66	20%	—	$257 – $417
12	Aetna commercial facility · percent of total billed charges · bothfrom % of charges	$321	$334	$67	20%	—	$260 – $421
13	Cigna commercial facility · percent of total billed charges · bothfrom % of charges	$321	$334	$67	20%	—	$260 – $421
14	MultiPlan multiplan - commercial facility · percent of total billed charges · bothfrom % of charges	$321	$334	$67	20%	—	$260 – $421

Last updated: Jan 5, 2026

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