Gadopiclenol contrast injection, per milliliter at Samaritan 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.

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Provider: anthropic
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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

Troy, NY

See all hospitals reporting HCPCS A9573 →

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How this price compares nationally

Samaritan Hospital’s median price of $36 is 393% above the median hospital's median price ($7), higher than 82% of the 1,139 hospitals reporting HCPCS A9573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9573 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 26 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 medicaid harp chip facility · fee schedule · both	$29	$29	—	—	—	$29 – $29
2	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
3	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
4	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
5	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
6	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
7	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
8	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
9	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
10	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
11	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
12	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
13	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$36	$36	—	—	—	$36 – $36
14	Cigna cigna facility · fee schedule · both	$49	$49	—	—	—	$49 – $49
15	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$50	$50	$15	29%	1–10	$36 – $65
16	First Health first health facility · percent of total billed charges · bothfrom % of charges	$52	$52	—	—	—	$52 – $52
17	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
18	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
19	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$58	$58	—	—	—	$58 – $58
20	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
21	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
22	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
23	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$65	$65	—	—	—	$65 – $65
24	Aetna aetna facility · fee schedule · both	$73	$73	—	—	—	$73 – $73
25	Medical Mutual aetna facility · fee schedule · both	$73	$73	—	—	—	$73 – $73

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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