HCPCS A9577
Injection, gadobenate dimeglumine (multihance), per ml
Current code34 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) |
|---|---|---|---|
| Capital Medical Center | $7.37 – $69.11 | $3.69 – $32.52 | $9.21 – $81.30 |
| Deaconess Medical Center | $7.86 – $93.51 | $4.43 – $51.24 | $11.07 – $128 |
| Highline Medical Center | $7.33 – $456 | $5.21 – $155 | $17.04 – $507 |
| Kadlec Regional Medical Center | — | $111 | $159 |
| Mary Bridge Children's Hospital | $13.08 – $16.00 | $8.00 | $20.00 |
| MultiCare Auburn Medical Center | $5.48 – $18.21 | $3.72 – $9.98 | $9.28 – $24.94 |
| MultiCare Covington Medical Center | $3.81 – $14.60 | $2.59 – $8.00 | $6.46 – $20.00 |
| MultiCare Good Samaritan Hospital | $5.87 – $14.60 | $3.98 – $8.00 | $9.95 – $20.00 |
| MultiCare Valley Hospital | $6.08 – $20.31 | $3.38 – $11.29 | $8.45 – $28.20 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $63.00 | $90.00 |
| Providence Holy Family Hospital | — | $63.00 | $90.00 |
| Providence Mount Carmel Hospital | — | $63.00 – $111 | $90.00 – $159 |
| Providence St Joseph Hospital | — | $111 | $159 |
| Seattle Children's Hospital | $372 – $662 | $690 | $690 |
| St Anthony Hospital | $9.38 – $380 | $5.19 – $154 | $17.04 – $507 |
| St Clare Hospital | $9.38 – $380 | $4.92 – $146 | $17.04 – $507 |
| St Elizabeth Hospital | $6.14 – $456 | $6.03 – $179 | $17.04 – $507 |
| St Francis Community Hospital | $9.38 – $380 | $5.35 – $159 | $17.04 – $507 |
| St Joseph Medical Center | $9.38 – $380 | $5.65 – $168 | $17.04 – $507 |
| St Michael Medical Center | $10.74 – $456 | $7.53 – $224 | $17.04 – $507 |
| Tacoma General Allenmore Hospital | $3.69 – $18.57 | $2.50 – $10.18 | $6.25 – $25.44 |
| Yakima Valley Memorial | $6.01 – $17.72 | $4.30 – $12.66 | $10.73 – $31.65 |
Medicare (traditional) reference
CMS publishes no national amount for this code.