Gadopiclenol contrast injection, per milliliter at Wayne Memorial 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.

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

GADOPICLENOL 0.5 MMOL/ML INTRAVENOUS SOLUTION

Goldsboro, NC

See all hospitals reporting HCPCS A9573 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Wayne Memorial Hospital’s median price of $119 is 1558% above the median hospital's median price ($7), higher than 89% of the 1,139 hospitals reporting HCPCS A9573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9573 at Wayne Memorial Hospital

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.

Filter by billing methodology

Filter by billing class

#
1	Cigna commercial facility · fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
2	Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
3	UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
4	WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
5	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
6	Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$195	$195	—	—	—	$195 – $195
7	UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
8	Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges	$292	$292	—	—	—	$292 – $292
9	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
10	UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
11	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$320	$320	—	—	—	$320 – $320
12	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$320	$320	—	—	—	$320 – $320
13	Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges	$334	$334	—	—	—	$334 – $334
14	Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges	$338	$338	—	—	—	$338 – $338
15	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354

Last updated: Jun 18, 2026

Compare to other hospitals

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.