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 PROHANCE MULTIPK PER 1 ML
Hialeah, FL
See all hospitals reporting HCPCS A9576 →Price type
Hsa Pgh Llc’s median price of $25 is 872% above the median hospital's median price ($3), higher than 86% of the 1,166 hospitals reporting HCPCS A9576. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 9 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 | Humana humana commercial hmo facility · other · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Humana humana commercial ppo facility · other · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Magellan magellan behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 7 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 8 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
Last updated: Sep 1, 2026
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.