Gadoteridol contrast injection (ProHance multipack), per milliliter at Dignity Community Care

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

GADOTERIDOL 279MG 1ML INJ

Chandler, AZ

See all hospitals reporting HCPCS A9576 →

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Pricing by billing methodology

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How this price compares nationally

Dignity Community Care’s median price of $11 is 342% above the median hospital's median price ($3), higher than 83% of the 1,176 hospitals reporting HCPCS A9576. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9576 at Dignity Community Care

Negotiated rates from the hospital’s own file: 6 payers, 16 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 medicaid\|all plans fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
2	Cigna commercial\|exchange fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
3	Cigna commercial\|localplus surefit fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
4	Cigna commercial\|all other plans fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
5	Blue Cross Blue Shield commercial\|maricopafocus fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
6	Blue Cross Blue Shield commercial\|neighborhood fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
7	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
8	UnitedHealthcare commercial\|dignityhealthemployee fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
9	Blue Cross Blue Shield commercial\|workers comp fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
10	First Health commercial\|all plans fee schedule · inpatient	$32	$32	—	—	—	$32 – $32
11	First Health commercial\|all plans fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
12	MultiPlan commercial\|all plans fee schedule · inpatient	$50	$50	—	—	—	$50 – $50
13	MultiPlan commercial\|all plans fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
14	Aetna commercial\|all other plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
15	Aetna commercial\|hmo fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
16	Aetna commercial\|ppo fee schedule · outpatient	$60	$60	—	—	—	$60 – $60

Last updated: Feb 28, 2026

Compare to other hospitals

See Gadoteridol contrast injection (ProHance multipack), per milliliter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.