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
Ukiah, CA
See all hospitals reporting HCPCS A9573 →Price type
Ukiah Adventist Hospital’s median price of $8 is 11% above the median hospital's median price ($7), higher than 55% 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: 7 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 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | 11 | $4 – $4 |
| 2 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | 11 | $4 – $4 |
| 3 | Blue Cross Blue Shield blue cross mcs-all other plans case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | 1–10 | $7 – $7 |
| 6 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 7 | UnitedHealthcare uhc jll csp 1/1/25 percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 8 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 9 | MultiPlan phcs multiplan-all 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 | Kaiser kaiser medi-cal fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Medicaid medi-cal fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
Last updated: May 24, 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.