Gadoteridol contrast injection (ProHance multipack), per milliliter at Methodist Hospital

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

PROHANCE MULTIPK 1 ML

SAN ANTONIO, TX

See all hospitals reporting HCPCS A9576 →

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How this price compares nationally

Methodist Hospital’s median price of $71 is 2651% above the median hospital's median price ($3), higher than 90% of the 1,170 hospitals reporting HCPCS A9576. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9576 at Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 23 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 allpayerappendix fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
2	UnitedHealthcare charter fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
3	UnitedHealthcare nexusaco fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
4	UnitedHealthcare smallgroup fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
5	Cigna newbusinessnetwork fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
6	Cigna hmo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
7	Cigna openaccessplus fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
8	Cigna ppo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
9	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
10	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
11	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
12	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
13	Blue Cross Blue Shield healthselectopenaccess(eposoa) fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
14	Blue Cross Blue Shield ppo fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
15	First Health chip percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
16	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
17	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
18	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
19	Cigna comm percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
20	Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
21	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$380	$380	—	—	—	$380 – $380
22	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$431	$431	—	—	—	$431 – $431
23	Optum mcd percent of total billed charges · outpatientfrom % of charges	$507	$507	—	—	—	$507 – $507

Last updated: May 1, 2026

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