What does code A9577 cost?

Across the published hospital price files, the disclosed cash price for A9577 ranges from $5.05 to $167. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

A9577 is the billing code hospitals use to identify "Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-15) / 20 Ml In 1 Vial, Single-Dose" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

A9577

HCPCS

Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-15) / 20 Ml In 1 Vial, Single-Dose

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A9577 (Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-15) / 20 Ml In 1 Vial, Single-Dose) appears at 6 hospitals with disclosed cash prices from $5.05 to $167. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare A9577 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code A9577 vary by about 33× across the 5 hospitals with disclosed prices here — from $5.05 to $167. Shopping around can matter.

Hospitals

Prices shown

$5.05

Lowest cash

$167

Highest cash

code A9577 cash price6 disclosed · 5 hospitals

$5.05median ~$36.40$167

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$5.05 – $167

Libertyville · 1 hospital$5.05
Naperville · 1 hospital$10.30–$39.00
THREE RIVERS · 1 hospital$33.80
West Bend · 1 hospital$59.82
Menomonee Falls · 1 hospital$167

15 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-15) / 20 Ml In 1 Vial, Single-Dose Inpatient & outpatient	Endeavor Health Edward Hospital	A9577 HCPCS	$10.30	$10.30	—	—
HC MULTIHANCE PER ML Inpatient & outpatient	Endeavor Health Edward Hospital	A9577 HCPCS	$39.00	$39.00	—	—
Inj multihance Outpatient	Endeavor Health Edward Hospital	A9577 HCPCS	—	—	$13.88 – $13.88	—
Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-12) / 5 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	A9577 HCPCS	—	—	—	—
Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-13) / 10 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	A9577 HCPCS	—	—	—	—
Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-14) / 15 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	A9577 HCPCS	—	—	—	—
Hc Multihance 529Mg.11-15Ml Inpatient & outpatient	University of Chicago Medical Center	A9577 HCPCS	—	—	—	—
Hc Multihance 529Mg.1-5Ml Inpatient & outpatient	University of Chicago Medical Center	A9577 HCPCS	—	—	—	—
Hc Multihance 529Mg.16-20Ml Inpatient & outpatient	University of Chicago Medical Center	A9577 HCPCS	—	—	—	—
Hc Multihance 529Mg.6-10Ml Inpatient & outpatient	University of Chicago Medical Center	A9577 HCPCS	—	—	—	—
Inj multihance Outpatient	University of Chicago Medical Center	A9577 HCPCS	—	—	—	—
MULTIHANCE 529 MG-ML IV SOLN Outpatient	Advocate Condell Medical Center	A9577 HCPCS	$10.09	$5.05	$3.64 – $8.68	—
gadobenate dimeglumine 529 MG/ML Solution 15 mL Vial Outpatient	Froedtert Menomonee Falls Hospital	A9577 HCPCS	$303	$167	$2.35 – $273	—
gadobenate dimeglumine 529 MG/ML Solution 5 mL Vial Inpatient	Froedtert West Bend Hospital	A9577 HCPCS	$109	$59.82	$54.38 – $103	—
MR TRH Multihance 10mL per mL Inpatient	Three Rivers Health	A9577 CPT	$52.00	$33.80	$10.40 – $52.00	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish A9577 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Condell Medical Center Froedtert Menomonee Falls Hospital Froedtert West Bend Hospital Three Rivers Health

Code A9577: frequently asked

What does code A9577 cost?: Across the published hospital price files, the disclosed cash price for A9577 ranges from $5.05 to $167. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code A9577?: A9577 is the billing code hospitals use to identify "Multihance: 5 Vial, Single-Dose In 1 Box (0270-5164-15) / 20 Ml In 1 Vial, Single-Dose" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code A9577 by state

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