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
Inj, gadopiclenol, 1 ml
Maple Grove, MN
See all hospitals reporting HCPCS A9573 →Price type
Fairview Maple Grove Surgery Center’s median price of $6 is 18% below the median hospital's median price ($7), higher than 43% 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: 4 payers, 12 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica ma non-snp fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Medica ma snp fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Medica prime solution fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Medica vantage fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Cigna commercial fee schedule · both | $6 | $6 | $1 | 9% | — | $6 – $7 |
| 6 | UnitedHealthcare commercial fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Blue Cross Blue Shield federal fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Blue Cross Blue Shield commercial fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Medica bold fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 10 | Medica choice without / elect fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Medica city of st paul / essential uplan fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Medica choice with fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
Last updated: May 18, 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.