MultiHance contrast agent injection, 15 mL at St Luke's McCall, LTD

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

GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION

McCall, ID

See all hospitals reporting HCPCS A9577 →

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How this price compares nationally

St Luke's McCall, LTD’s median price of $117 is 1356% above the median hospital's median price ($8), higher than 81% of the 1,614 hospitals reporting HCPCS A9577. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9577 at St Luke's McCall, LTD

Negotiated rates from the hospital’s own file: 8 payers, 13 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	Cigna hb mccall cigna fee schedule · outpatient	$26	$26	$11	45%	—	$10 – $41
2	Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges	$93	$90	$36	39%	—	$37 – $139
3	Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges	$93	$90	$36	39%	—	$37 – $139
4	Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges	$94	$91	$36	39%	—	$37 – $140
5	Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges	$95	$92	$36	39%	—	$38 – $141
6	Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges	$102	$99	$39	39%	—	$41 – $152
7	Bcbs Id hb mccall bci percent of total billed charges · bothfrom % of charges	$141	$137	$54	39%	—	$56 – $210
8	Blue Cross Blue Shield hb mccall bci percent of total billed charges · bothfrom % of charges	$141	$137	$54	39%	—	$56 – $210
9	Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges	$144	$140	$55	39%	—	$57 – $215
10	Cigna hb mccall cigna percent of total billed charges · inpatientfrom % of charges	$149	$145	$57	39%	—	$59 – $222
11	Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges	$153	$148	$58	39%	—	$61 – $227
12	First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges	$153	$148	$58	39%	—	$61 – $227
13	UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges	$154	$150	$59	39%	—	$61 – $229

Last updated: Mar 25, 2026

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