HCPCS A9581
Injection, gadoxetate disodium, 1 ml
Current code42 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 | $62.05 – $72.25 | $34.00 | $85.00 |
| Cascade Medical Center | $16.02 – $248 | $316 | $395 |
| Cascade Valley Hospital | $15.77 – $7,448 | $148 – $336 | $186 – $420 |
| Deaconess Medical Center | $27.44 – $53.93 | $29.55 | $73.87 |
| EvergreenHealth Medical Center | $147 – $563 | $484 | $605 |
| Highline Medical Center | $368 – $770 | $261 | $855 |
| Island Hospital | $14.75 | — | — |
| Kadlec Regional Medical Center | $18.25 – $55.86 | — | — |
| Legacy Salmon Creek Medical Center | $23.20 – $33.10 | — | — |
| Mary Bridge Children's Hospital | $54.90 – $69.19 | $34.00 | $85.00 |
| MultiCare Auburn Medical Center | $43.59 – $62.05 | $23.89 – $34.00 | $59.71 – $85.00 |
| MultiCare Covington Medical Center | $62.05 | $34.00 | $85.00 |
| MultiCare Good Samaritan Hospital | $62.05 | $34.00 | $85.00 |
| MultiCare Valley Hospital | $27.25 – $55.07 | $29.34 – $30.60 | $73.35 – $76.48 |
| Olympic Medical Center | $1.00 | — | $1.00 |
| Overlake Hospital Medical Center & Clinics | $27.34 – $29.11 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $16.20 – $27.20 | — | — |
| Providence Centralia Hospital | $44.10 – $94.38 | — | — |
| Providence Holy Family Hospital | $16.20 – $27.20 | — | — |
| Providence Regional Medical Center Everett | $16.20 – $27.20 | — | — |
| Providence St Mary Medical Center | $91.11 | $276 | $395 |
| Providence St Peter Hospital | $27.20 | — | — |
| Seattle Children's Hospital | $870 – $1,547 | $1,612 | $1,612 |
| Skagit Valley Hospital | $26.78 – $479 | $148 – $403 | $186 – $504 |
| St Anthony Hospital | $428 – $641 | $260 | $855 |
| St Clare Hospital | $428 – $641 | $246 | $855 |
| St Elizabeth Hospital | $285 – $770 | $302 | $855 |
| St Francis Community Hospital | $428 – $641 | $268 | $855 |
| St Joseph Medical Center | $428 – $641 | $283 | $855 |
| St Michael Medical Center | $29.50 – $770 | $377 | $855 |
| Swedish Edmonds Hospital | $16.20 – $27.20 | $189 | $395 |
| Swedish Issaquah | $16.20 – $27.20 | — | — |
| Swedish Medical Center | $16.20 – $27.20 | — | — |
| Swedish Medical Center / Cherry Hill | $16.20 – $27.20 | — | — |
| Tacoma General Allenmore Hospital | $40.73 – $77.75 | $22.32 – $42.60 | $55.80 – $107 |
| Virginia Mason Medical Center | $34.80 – $46.40 | $29.58 | $58.00 |
| Yakima Valley Memorial | $30.18 – $58.44 | $24.64 – $27.50 | $61.59 – $68.75 |
Medicare (traditional) reference
CMS publishes no national amount for this code.