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
Florida
Hospital Address Code Price Last Updated
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando A9576 $1 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills A9576 $4 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills A9576 $4 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares A9576 $4 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala A9576 $4 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee A9576 $4 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City A9576 $4 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando A9576 $4 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa A9576 $4 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka A9576 $4 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa A9576 $4 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando A9576 $4 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa A9576 $4 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland A9576 $4 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales A9576 $4 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring A9576 $4 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach A9576 $4 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs A9576 $4 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa A9576 $4 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City A9576 $4 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park A9576 $4 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula A9576 $4 [source] 4 years ago
West Boca Medical Center 21644 State Rd. 7, Boca Raton A9576 $7 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville A9576 $9 [source] 4 years ago
St. Mary's Medical Center 901 45Th St., West Palm Beach A9576 $34 [source] 4 years ago
Palmetto General Hospital 2001 West 68Th St., Hialeah A9576 $79 [source] 4 years ago
Coral Gables Hospital 3100 Douglas Rd., Miami A9576 $89 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach A9576 $122 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton A9576 $126 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton A9576 $126 [source] 4 years ago
Florida Medical Center, A Campus Of North Shore 5000 West Oakland Park Blvd., Fort Lauderdale A9576 $136 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami A9576 $312 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale A9576 $393 [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.