HCPCS A9573
Injection, gadopiclenol, 1 ml
Current code17 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Island Hospital | $3.30 | — | — |
| Kadlec Regional Medical Center | $6.43 – $13.60 | — | — |
| Legacy Salmon Creek Medical Center | $5.30 – $6.14 | — | — |
| Overlake Hospital Medical Center & Clinics | $6.66 – $7.09 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $6.43 | — | — |
| Providence Centralia Hospital | $10.74 – $22.30 | — | — |
| Providence Holy Family Hospital | $6.43 | — | — |
| Providence Regional Medical Center Everett | $6.43 | — | — |
| Providence St Mary Medical Center | $24.19 | — | — |
| Providence St Peter Hospital | $6.43 | $70.77 – $88.47 | $136 – $170 |
| Seattle Children's Hospital | $224 – $1,214 | $414 – $1,264 | $414 – $1,264 |
| Swedish Edmonds Hospital | $6.43 | — | — |
| Swedish Issaquah | $6.43 | — | — |
| Swedish Medical Center | $6.43 | — | — |
| Swedish Medical Center / Cherry Hill | $6.43 | — | — |
| Virginia Mason Medical Center | $8.40 – $11.20 | $7.14 | $14.00 |
| Yakima Valley Memorial | $8.23 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.