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 | $6.72 – $69.11 | $3.69 – $32.52 | $9.21 – $81.30 |
| Cascade Medical Center | $1.97 – $90.92 | $116 | $145 |
| Deaconess Medical Center | $4.11 – $93.51 | $4.43 – $51.24 | $11.07 – $128 |
| Highline Medical Center | $7.33 – $456 | $5.21 – $155 | $17.04 – $507 |
| Island Hospital | $1.80 | — | — |
| Kadlec Regional Medical Center | $2.26 – $6.92 | $111 | $159 |
| Legacy Salmon Creek Medical Center | $2.75 – $3.18 | — | — |
| Mary Bridge Children's Hospital | $12.92 – $16.28 | $8.00 | $20.00 |
| MultiCare Auburn Medical Center | $6.77 – $18.21 | $3.72 – $9.98 | $9.28 – $24.94 |
| MultiCare Covington Medical Center | $4.72 – $14.60 | $2.59 – $8.00 | $6.46 – $20.00 |
| MultiCare Good Samaritan Hospital | $7.26 – $14.60 | $3.98 – $8.00 | $9.95 – $20.00 |
| MultiCare Valley Hospital | $3.14 – $20.31 | $3.38 – $11.29 | $8.45 – $28.20 |
| Overlake Hospital Medical Center & Clinics | $3.39 – $3.60 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.99 – $3.35 | $63.00 | $90.00 |
| Providence Centralia Hospital | $5.46 – $11.63 | — | — |
| Providence Holy Family Hospital | $1.99 – $3.35 | $63.00 | $90.00 |
| Providence Mount Carmel Hospital | — | $63.00 – $111 | $90.00 – $159 |
| Providence Regional Medical Center Everett | $1.99 – $3.35 | — | — |
| Providence St Joseph Hospital | — | $111 | $159 |
| Providence St Mary Medical Center | $11.34 | — | — |
| Providence St Peter Hospital | $3.35 | — | — |
| Seattle Children's Hospital | $372 – $662 | $690 | $690 |
| St Anthony Hospital | $8.52 – $380 | $5.19 – $154 | $17.04 – $507 |
| St Clare Hospital | $8.52 – $380 | $4.92 – $146 | $17.04 – $507 |
| St Elizabeth Hospital | $5.68 – $456 | $6.03 – $179 | $17.04 – $507 |
| St Francis Community Hospital | $8.52 – $380 | $5.35 – $159 | $17.04 – $507 |
| St Joseph Medical Center | $8.52 – $380 | $5.65 – $168 | $17.04 – $507 |
| St Michael Medical Center | $3.64 – $456 | $7.53 – $224 | $17.04 – $507 |
| Swedish Edmonds Hospital | $1.99 – $3.35 | — | — |
| Swedish Issaquah | $1.99 – $3.35 | — | — |
| Swedish Medical Center | $1.99 – $3.35 | — | — |
| Swedish Medical Center / Cherry Hill | $1.99 – $3.35 | — | — |
| Tacoma General Allenmore Hospital | $4.56 – $18.57 | $2.50 – $10.18 | $6.25 – $25.44 |
| Yakima Valley Memorial | $4.19 – $26.90 | $4.30 – $12.66 | $10.73 – $31.65 |
Medicare (traditional) reference
CMS publishes no national amount for this code.