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
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway A9576 $4 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9576 $4 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9576 $4 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9576 $4 [source] 4 years ago
The Hospitals Of Providence East Campus 3280 Joe Battle Blvd., El Paso A9576 $8 [source] 4 years ago
The Hospitals Of Providence Transmountain Campus 2000 Transmountain Road, El Paso A9576 $41 [source] 4 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso A9576 $44 [source] 4 years ago
Valley Baptist Medical Center 2101 Pease Street, Harlingen A9576 $72 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor A9576 $118 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls A9576 $118 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy A9576 $118 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station A9576 $126 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham A9576 $133 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda A9576 $133 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville A9576 $133 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin A9576 $133 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano A9576 $157 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey A9576 $157 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth A9576 $157 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco A9576 $157 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney A9576 $157 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving A9576 $157 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas A9576 $157 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie A9576 $157 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett A9576 $157 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine A9576 $165 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano A9576 $183 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton A9576 $183 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano A9576 $183 [source] 4 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie A9576 $189 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple A9576 $196 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison A9576 $206 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9576 $431 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9576 $431 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9576 $431 [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 §180.