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
GADOPICL3.75MMOL/7.5MLSDV
Phoenix, AZ
See all hospitals reporting HCPCS A9573 →Price type
Dignity Health’s median price of $12 is 65% above the median hospital's median price ($7), higher than 66% 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: 5 payers, 7 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 commercial|dignityhealthemployee fee schedule · outpatient | $6 | $6 | $3 | 54% | — | $3 – $10 |
| 2 | Optum commercial|optumhealth fee schedule · outpatient | $15 | $15 | $8 | 54% | — | $7 – $24 |
| 3 | Cigna commercial|lifesource fee schedule · outpatient | $18 | $18 | $10 | 54% | — | $8 – $28 |
| 4 | First Health commercial|all plans fee schedule · inpatient | $23 | $23 | $12 | 54% | — | $11 – $35 |
| 5 | First Health commercial|all plans fee schedule · outpatient | $23 | $23 | $12 | 54% | — | $11 – $35 |
| 6 | MultiPlan commercial|all plans fee schedule · inpatient | $26 | $26 | $14 | 54% | — | $12 – $40 |
| 7 | MultiPlan commercial|all plans fee schedule · outpatient | $26 | $26 | $14 | 54% | — | $12 – $40 |
Last updated: Feb 28, 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.