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HCPCS A9581

Injection, gadoxetate disodium, 1 ml

Current code42 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$68.00 – $72.252 plans$34.00$85.00
Cascade Valley HospitalArlington$15.77 – $7,4488 plans$148 – $336$186 – $420
Deaconess Medical CenterSpokaneFile dated 2026-08-27$52.45 – $53.932 plans$29.55$73.87
EvergreenHealth Medical CenterKirkland$147 – $56311 plans$484$605
Highline Medical CenterBurienFile dated 2026-02-28$368 – $7706 plans$261$855
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$55.59 – $68.006 plans$34.00$85.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$35.23 – $62.053 plans$23.89 – $34.00$59.71 – $85.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$50.15 – $62.053 plans$34.00$85.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$50.15 – $62.053 plans$34.00$85.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$52.81 – $55.072 plans$29.34 – $30.60$73.35 – $76.48
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1.002 plans—$1.00
PeaceHealth Peace Island Medical CenterFriday Harbor—$180 – $277$277 – $426
PeaceHealth Southwest Medical CenteVancouver—$180 – $277$277 – $426
PeaceHealth St John Medical CenterLongview—$180 – $277$277 – $426
PeaceHealth St Joseph Medical CenterBellingham—$180 – $277$277 – $426
PeaceHealth United General Medical CenterSedro Woolley$5,2991 plan$180 – $277$277 – $426
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$276$395
Seattle Children's HospitalSeattle$870 – $1,54798 plans$1,612$1,612
Skagit Valley HospitalMount Vernon$26.78 – $4797 plans$148 – $403$186 – $504
St Anthony HospitalGig HarborFile dated 2026-02-28$470 – $6414 plans$260$855
St Clare HospitalLakewoodFile dated 2026-02-28$470 – $6414 plans$246$855
St Elizabeth HospitalEnumclawFile dated 2026-02-28$308 – $7709 plans$302$855
St Francis Community HospitalFederal WayFile dated 2026-02-28$470 – $6414 plans$268$855
St Joseph Medical CenterTacomaFile dated 2026-02-28$470 – $6414 plans$283$855
St Michael Medical CenterSilverdaleFile dated 2026-02-28$539 – $77010 plans$377$855
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$189$395
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$32.92 – $77.753 plans$22.32 – $42.60$55.80 – $107
Virginia Mason Medical CenterSeattle$37.15 – $46.404 plans$29.58$58.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$34.49 – $38.501 plan$24.64 – $27.50$61.59 – $68.75

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.