MultiHance contrast agent injection, 15 mL at Commonspirit Kansas, Inc.

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

Ulysses, KS

See all hospitals reporting HCPCS A9577 →

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How this price compares nationally

Commonspirit Kansas, Inc.’s median price of $86 is 971% above the median hospital's median price ($8), higher than 78% 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 Commonspirit Kansas, Inc.

Negotiated rates from the hospital’s own file: 6 payers, 13 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	Bcbs Ks commercial ppo/hmo fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
2	Aetna managed medicare percent of total billed charges · outpatientfrom % of charges	$58	$57	$23	41%	—	$24 – $86
3	Humana managed medicare percent of total billed charges · outpatientfrom % of charges	$58	$57	$23	41%	—	$24 – $86
4	Medicare medicare percent of total billed charges · outpatientfrom % of charges	$58	$57	$23	41%	—	$24 – $86
5	UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges	$58	$57	$23	41%	—	$24 – $86
6	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$146	$142	$58	41%	—	$60 – $214
7	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$146	$142	$58	41%	—	$60 – $214
8	UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges	$152	$148	$60	41%	—	$63 – $224
9	UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges	$152	$148	$60	41%	—	$63 – $224
10	MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges	$164	$160	$65	41%	—	$68 – $241
11	MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges	$164	$160	$65	41%	—	$68 – $241
12	MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges	$170	$165	$67	41%	—	$70 – $249
13	MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges	$170	$165	$67	41%	—	$70 – $249

Last updated: Feb 3, 2026

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