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
GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION
Enumclaw, WA
See all hospitals reporting HCPCS A9577 →Price type
Enumclaw Regional Hospital Association’s median price of $69 is 763% above the median hospital's median price ($8), higher than 74% of the 1,614 hospitals reporting HCPCS A9577. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 24 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 | Kaiser medicare|all plans fee schedule · outpatient | $46 | $46 | $31 | 68% | — | $3 – $91 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $46 | $46 | $31 | 68% | — | $3 – $91 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $46 | $47 | $32 | 68% | — | $3 – $92 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $46 | $47 | $32 | 68% | — | $3 – $92 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $47 | $48 | $32 | 68% | — | $3 – $94 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $47 | $48 | $32 | 68% | — | $3 – $94 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $49 | $49 | $34 | 68% | — | $3 – $98 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $49 | $50 | $34 | 68% | — | $3 – $98 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $49 | $50 | $34 | 68% | — | $3 – $98 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $56 | $56 | $38 | 68% | — | $4 – $111 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $75 | $76 | $52 | 68% | — | $5 – $150 |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $76 | $77 | $52 | 68% | — | $5 – $151 |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $88 | $89 | $60 | 68% | — | $6 – $175 |
| 14 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $91 | $92 | $63 | 68% | — | $6 – $182 |
| 15 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $94 | $95 | $65 | 68% | — | $6 – $187 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $99 | $100 | $68 | 68% | — | $7 – $198 |
| 17 | Aetna commercial|awh fee schedule · inpatient | $101 | $103 | $70 | 68% | — | $7 – $203 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $122 | $123 | $84 | 68% | — | $8 – $243 |
| 19 | Cigna commercial|all plans fee schedule · outpatient | $127 | $128 | $87 | 68% | — | $9 – $253 |
| 20 | Cigna commercial|all plans fee schedule · inpatient | $139 | $141 | $96 | 68% | — | $9 – $279 |
| 21 | Aetna commercial|rental fee schedule · inpatient | $182 | $185 | $126 | 68% | — | $12 – $365 |
| 22 | Aetna commercial|rental fee schedule · outpatient | $182 | $185 | $126 | 68% | — | $12 – $365 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $228 | $231 | $157 | 68% | — | $15 – $456 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $228 | $231 | $157 | 68% | — | $15 – $456 |
Last updated: Feb 28, 2026
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