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HCPCS A9585

Injection, gadobutrol, 0.1 ml

Current code26 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$88.80 – $108$222 – $271
Cascade Valley HospitalArlington$10.76 – $4171 plan$8.61 – $334$10.76 – $417
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$88.80 – $108$222 – $271
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$88.80 – $108$222 – $271
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$88.80 – $108$1.87 – $271
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$88.80 – $108$222 – $271
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$88.80 – $108$222 – $271
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$88.80 – $108$222 – $271
Olympic Medical CenterPort AngelesFile dated 2026-06-24——$1.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$63.00 – $103$90.00 – $147
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$46.80$90.00
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$63.00 – $103$90.00 – $147
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$46.80$90.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$63.00 – $103$90.00 – $147
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$46.80$90.00
Skagit Valley HospitalMount Vernon$1.121 plan$8.61 – $334$10.76 – $417
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$43.20 – $137$90.00 – $285
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$88.80 – $108$222 – $271
Virginia Mason Medical CenterSeattle——$1.00
Yakima Valley MemorialYakimaFile dated 2026-08-27—$1.03 – $2.43$1.33 – $6.07

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.