HCPCS A9576
Injection, gadoteridol, (prohance multipack), per 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) |
|---|---|---|---|
| Cascade Medical Center | $1.63 – $217 | $168 – $277 | $209 – $347 |
| Island Hospital | $1.42 | — | — |
| Kadlec Regional Medical Center | $1.81 – $5.55 | — | — |
| Legacy Salmon Creek Medical Center | $2.23 – $2.58 | — | — |
| Overlake Hospital Medical Center & Clinics | $2.72 – $2.89 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.60 – $2.65 | — | — |
| Providence Centralia Hospital | $4.38 – $9.18 | — | — |
| Providence Holy Family Hospital | $1.60 – $2.65 | — | — |
| Providence Regional Medical Center Everett | $1.60 – $2.65 | — | — |
| Providence St Mary Medical Center | $9.11 | — | — |
| Providence St Peter Hospital | $2.65 | — | — |
| Swedish Edmonds Hospital | $1.60 – $2.65 | — | — |
| Swedish Issaquah | $1.60 – $2.65 | — | — |
| Swedish Medical Center | $1.60 – $2.65 | — | — |
| Swedish Medical Center / Cherry Hill | $1.60 – $2.65 | — | — |
| Three Rivers Hospital | — | $10.21 – $11.55 | $10.21 – $11.55 |
| Yakima Valley Memorial | $3.36 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.