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
GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION
Hanover, PA
See all hospitals reporting HCPCS A9573 →Price type
UPMC Hanover’s median price of $7 is 3% below the median hospital's median price ($7), higher than 50% of the 1,135 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, 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 medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 14 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Cigna commercial facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
Last updated: Mar 6, 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.