Code: A9575

Description:
Description: Injection, gadoterate meglumine, 0.1 ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
GADOTERATE MEG 15 ML
GADOTERATE MEG 20 ML
GADOTERATE MEG 5 ML
GADOTERATE MEG 0.1 ML
HC INJECTION, GADOTERATE MEGLUMINE, 0.1 ML
GADOTERATE MEGLUMINE 0.5 MMOL/ML INTRAVENOUS SYRINGE
DOTAREM 15ML VIAL
DOTAREM 20ML VIAL
Dotarem Inj 0.1ml, 20 Ml
Related codes:
Code: A9570
IN111 AUTO WBC DX DOSE
Code: A9571
Description: Indium in-111 labeled autologous platelets, diagnostic, per study dose
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Code: A9572
IN111 PENTETREOT DX 6MCI
Code: A9576
PROHANCE MULTIPK 1 ML
Code: A9577
MULTIHANCE 5 ML
Code: A9578
MULTIHANCE MULTIPAC 1 ML
Code: A9579
GAD BASE MR CONT NOS 1ML
Texas
Hospital Address Code Price Last Updated
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9575 $2 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9575 $13 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9575 $58 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9575 $122 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth A9575 $163 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9575 $204 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington A9575 $301 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford A9575 $684 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9575 $684 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi A9575 $717 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.