Code: A9576

Description:
Description: Injection, gadoteridol, (prohance multipack), per ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML
GADOTERIDOL INJ 20ML
GADOTERIDOL INJ 5 ML
GADOTERIDOL INJ 10 ML
GADOTERIDOL PER 1ML
GADOTERIDOL PER ML
GADOTERIDOL (PROHANCE)PER
GADOTERIDOL (PROHANCE)
Gad-base Mr Contrast Nos,1ml
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: A9575
GADOTERATE MEG 10 ML
Code: A9577
MULTIHANCE 5 ML
Code: A9578
MULTIHANCE MULTIPAC 1 ML
Code: A9579
GAD BASE MR CONT NOS 1ML
California
Hospital Address Code Price Last Updated
San Jose Medical Center 250 Hospital Pkwy, San Jose A9576 $4 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco A9576 $4 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills A9576 $4 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento A9576 $4 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch A9576 $4 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto A9576 $4 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville A9576 $4 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro A9576 $4 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek A9576 $4 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara A9576 $4 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento A9576 $4 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond A9576 $4 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon A9576 $4 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City A9576 $4 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo A9576 $4 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville A9576 $4 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno A9576 $4 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco A9576 $4 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael A9576 $4 [source] 4 years ago
Doctors Hospital Of Manteca 1205 East North St., Manteca A9576 $5 [source] 4 years ago
Doctors Medical Center Of Modesto 1441 Florida Ave., Modesto A9576 $7 [source] 4 years ago
Fountain Valley Regional Hospital 17100 Euclid At Warner, Fountain Valley A9576 $14 [source] 4 years ago
Sierra Vista Regional Medical Center 1010 Murray Ave., San Luis Obispo A9576 $22 [source] 4 years ago
Desert Regional Medical Center 1150 N. Indian Canyon Way, Palm Springs A9576 $24 [source] 4 years ago
Los Alamitos Medical Center 3751 Katella Ave., Los Alamitos A9576 $33 [source] 4 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim A9576 $34 [source] 4 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City A9576 $34 [source] 4 years ago
Zion Medical Center 4647 Zion Ave, San Diego A9576 $34 [source] 4 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana A9576 $34 [source] 4 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills A9576 $34 [source] 4 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles A9576 $34 [source] 4 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles A9576 $34 [source] 4 years ago
Panorama City Medical Center 13651 Willard St, Panorama City A9576 $34 [source] 4 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine A9576 $34 [source] 4 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario A9576 $34 [source] 4 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley A9576 $34 [source] 4 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside A9576 $34 [source] 4 years ago
Downey Medical Center 9333 Imperial Hwy, Downey A9576 $34 [source] 4 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park A9576 $34 [source] 4 years ago
Twin Cities Community Hospital 1100 Las Tablas Rd., Templeton A9576 $36 [source] 4 years ago
Lakewood Regional Medical Center 3700 East South St., Lakewood A9576 $37 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar A9576 $53 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta A9576 $53 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale A9576 $76 [source] 4 years ago
Emanuel Medical Center 825 Delbon Avenue, Turlock A9576 $82 [source] 4 years ago
Corona Regional Medical Center 800 S. Main Street, Corona A9576 $261 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula A9576 $308 [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.