HCPCS A9581
Injection, gadoxetate disodium, 1 ml
Current code42 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $34.00 | $85.00 |
| Cascade Valley Hospital | $186 – $420 | $148 – $336 | $186 – $420 |
| Deaconess Medical Center | — | $29.55 | $73.87 |
| EvergreenHealth Medical Center | — | $484 | $605 |
| Highline Medical Center | — | $261 | $855 |
| Mary Bridge Children's Hospital | — | $34.00 | $85.00 |
| MultiCare Auburn Medical Center | — | $23.89 – $34.00 | $59.71 – $85.00 |
| MultiCare Covington Medical Center | — | $34.00 | $85.00 |
| MultiCare Good Samaritan Hospital | — | $34.00 | $85.00 |
| MultiCare Valley Hospital | — | $29.34 – $30.60 | $73.35 – $76.48 |
| Olympic Medical Center | — | — | $1.00 |
| PeaceHealth Peace Island Medical Center | — | $180 – $277 | $277 – $426 |
| PeaceHealth Southwest Medical Cente | — | $180 – $277 | $277 – $426 |
| PeaceHealth St John Medical Center | — | $180 – $277 | $277 – $426 |
| PeaceHealth St Joseph Medical Center | — | $180 – $277 | $277 – $426 |
| PeaceHealth United General Medical Center | — | $180 – $277 | $277 – $426 |
| Providence St Mary Medical Center | — | $276 | $395 |
| Seattle Children's Hospital | $414 – $524 | $1,612 | $1,612 |
| Skagit Valley Hospital | — | $148 – $403 | $186 – $504 |
| St Anthony Hospital | — | $260 | $855 |
| St Clare Hospital | — | $246 | $855 |
| St Elizabeth Hospital | $239 – $284 | $302 | $855 |
| St Francis Community Hospital | — | $268 | $855 |
| St Joseph Medical Center | — | $283 | $855 |
| St Michael Medical Center | — | $377 | $855 |
| Swedish Edmonds Hospital | — | $189 | $395 |
| Tacoma General Allenmore Hospital | — | $22.32 – $42.60 | $55.80 – $107 |
| Virginia Mason Medical Center | — | $29.58 | $58.00 |
| Yakima Valley Memorial | — | $24.64 – $27.50 | $61.59 – $68.75 |
Medicare (traditional) reference
CMS publishes no national amount for this code.