HCPCS A9583

Injection, gadofosveset trisodium, 1 ml

Current code6 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.

Prices for HCPCS A9583 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$43.80 – $51.002 plans$24.00$60.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$38.75 – $48.846 plans$24.00$60.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$43.802 plans$24.00$60.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$43.802 plans$24.00$60.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$43.802 plans$24.00$60.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$43.802 plans$24.00$60.00

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.