Gadopiclenol contrast injection, per milliliter at Piedmont Mountainside

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

GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION

Jasper, GA

See all hospitals reporting HCPCS A9573 →

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How this price compares nationally

Piedmont Mountainside’s median price of $207 is 2783% above the median hospital's median price ($7), higher than 92% of the 1,135 hospitals reporting HCPCS A9573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9573 at Piedmont Mountainside

Negotiated rates from the hospital’s own file: 7 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	UnitedHealthcare united healthcare fee schedule · both	$64	$64	—	—	—	$64 – $64
2	UnitedHealthcare united healthcare exchange fee schedule · both	$64	$64	—	—	—	$64 – $64
3	Cigna cigna fee schedule · both	$89	$89	—	—	—	$89 – $89
4	Cigna cigna connect fee schedule · both	$89	$89	—	—	—	$89 – $89
5	First Health first health percent of total billed charges · bothfrom % of charges	$210	$210	—	—	—	$210 – $210
6	Beechstreet beechstreet percent of total billed charges · bothfrom % of charges	$240	$240	—	—	—	$240 – $240
7	Phcs phcs percent of total billed charges · bothfrom % of charges	$240	$240	—	—	—	$240 – $240
8	Kaiser kaiser percent of total billed charges · bothfrom % of charges	$255	$255	—	—	—	$255 – $255
9	MultiPlan multiplan percent of total billed charges · bothfrom % of charges	$255	$255	—	—	—	$255 – $255

Last updated: Jul 1, 2026

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