Gadoxetate contrast injection, 10 mL 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

GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION

Troy, NY

See all hospitals reporting HCPCS A9581 →

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How this price compares nationally

Samaritan Hospital’s median price of $223 is 475% above the median hospital's median price ($39), higher than 78% of the 1,730 hospitals reporting HCPCS A9581. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9581 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	$103	$103	—	—	—	$103 – $103
2	Cigna cigna facility · fee schedule · both	$221	$221	—	—	—	$221 – $221
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$223	$223	—	—	—	$223 – $223
15	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$314	$314	$91	29%	—	$223 – $405
16	First Health first health facility · percent of total billed charges · bothfrom % of charges	$324	$324	—	—	—	$324 – $324
17	Aetna aetna facility · fee schedule · both	$325	$325	—	—	—	$325 – $325
18	Medical Mutual aetna facility · fee schedule · both	$325	$325	—	—	—	$325 – $325
19	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$351	$351	—	—	—	$351 – $351
20	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$364	$364	—	—	—	$364 – $364
21	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$364	$364	—	—	—	$364 – $364
22	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$364	$364	—	—	—	$364 – $364
23	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$405	$405	—	—	—	$405 – $405
24	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$405	$405	—	—	—	$405 – $405
25	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$405	$405	—	—	—	$405 – $405

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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