MultiHance contrast agent injection, 15 mL at Mayo Clinic Arizona

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

GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION

Phoenix, AZ

See all hospitals reporting HCPCS A9577 →

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How this price compares nationally

Mayo Clinic Arizona’s median price of $41 is 415% above the median hospital's median price ($8), higher than 69% of the 1,614 hospitals reporting HCPCS A9577. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9577 at Mayo Clinic Arizona

Negotiated rates from the hospital’s own file: 17 payers, 46 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	Medica az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$31	$31	$0	0%	—	$31 – $31
2	Optum az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$31	$31	$0	0%	—	$31 – $31
3	UnitedHealthcare az uhc gap exception [1376] facility · percent of total billed charges · bothfrom % of charges	$31	$31	$0	0%	—	$31 – $31
4	UnitedHealthcare az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$31	$31	$0	0%	19	$31 – $31
5	Cigna az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$32	$32	$0	0%	28	$32 – $32
6	Cigna az cigna gap exception [1383] facility · percent of total billed charges · bothfrom % of charges	$32	$32	$0	0%	—	$32 – $32
7	Healthpartners az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$32	$32	$0	0%	—	$32 – $32
8	Humana az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$32	$32	$0	0%	—	$32 – $32
9	Medcost az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$32	$32	$0	0%	—	$32 – $32
10	Medical Mutual az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$32	$32	$0	0%	—	$32 – $32
11	Oscar az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$32	$32	$0	0%	—	$32 – $32
12	Aetna az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	2–20	$34 – $34
13	Anthem az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	—	$34 – $34
14	Blue Cross Blue Shield az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	—	$34 – $34
15	Blue Cross Blue Shield az federal retiree [1020] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	—	$34 – $34
16	Blue Cross Blue Shield az tx bcbs [875] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	—	$34 – $34
17	Cigna az tx cigna [838] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	—	$34 – $34
18	Healthpartners az cc complex care [768] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	—	$34 – $34
19	Kaiser az fl transplant [694] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	—	$34 – $34
20	Medical Mutual az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$34	$34	$0	0%	—	$34 – $34
21	Aetna az geha aetna federal retiree [1021] facility · percent of total billed charges · bothfrom % of charges	$37	$37	$0	0%	2–20	$37 – $37
22	Humana az by plan [32] facility · percent of total billed charges · bothfrom % of charges	$37	$37	$0	0%	—	$37 – $37
23	Aetna az transplant [28] facility · percent of total billed charges · bothfrom % of charges	$41	$41	$0	0%	—	$41 – $41
24	First Health az aetna asa [1119] facility · percent of total billed charges · bothfrom % of charges	$41	$41	$0	0%	—	$41 – $41
25	Humana az transplant [28] facility · percent of total billed charges · bothfrom % of charges	$41	$41	$0	0%	—	$41 – $41

Page 1 of 2 · 46 rates

Last updated: Aug 14, 2026

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