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.
Original text from hospital filings
INJECTION, GADOPICLENOL, 1 ML
Helena, CA
See all hospitals reporting HCPCS A9573 →Price type
St Helena Hospital’s median price of $8 is 8% above the median hospital's median price ($7), higher than 52% of the 1,139 hospitals reporting HCPCS A9573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 | Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | 11 | $5 – $5 |
| 2 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | 11 | $5 – $5 |
| 3 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | 11 | $5 – $5 |
| 4 | Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 5 | UnitedHealthcare umr uhc ppo percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Blue Cross Blue Shield blue cross non mcs case rate · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Cigna cigna-all other plans percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 9 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 10 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 11 | UnitedHealthcare uhc jll fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 12 | UnitedHealthcare uhc options ppo fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 13 | UnitedHealthcare uhc select/select plus fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 14 | Aetna aetna-all plans fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
Last updated: Jul 15, 2026
See Gadopiclenol contrast injection, per milliliter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.