Code: A9577

Description:
Description: Injection, gadobenate dimeglumine (multihance), per ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
MULTIHANCE 10 ML
MULTIHANCE 20 ML
MULTIHANCE 1 ML
HC INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER M
GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION
HC CM GADOLINIUM PER ML
GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN
MULTIHANCE CONTRAST 20ML
Inj Multihance 20 Ml, Per 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: A9576
PROHANCE MULTIPK 1 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 A9577 $5 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9577 $6 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9577 $6 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9577 $6 [source] 4 years ago
North Central Baptist Hospital 520 Madison Oak Dr., San Antonio A9577 $27 [source] 4 years ago
Valley Baptist Medical Center 2101 Pease Street, Harlingen A9577 $29 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9577 $36 [source] 4 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso A9577 $41 [source] 4 years ago
The Hospitals Of Providence Sierra Campus 1625 Medical Center Dr., El Paso A9577 $42 [source] 4 years ago
Nacogdoches Medical Center 4920 Ne Stallings Dr., Nacogdoches A9577 $42 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass A9577 $70 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9577 $75 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo A9577 $104 [source] 4 years ago
Paris Regional Medical Center 865 Deshong Drive, Paris A9577 $117 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth A9577 $163 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen A9577 $195 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington A9577 $203 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth A9577 $217 [source] 4 years ago
Mission Trail Baptist Hospital 3333 Research Plaza, San Antonio A9577 $230 [source] 4 years ago
Northeast Baptist Hospital 8811 Village Dr., San Antonio A9577 $230 [source] 4 years ago
St. Luke's Baptist Hospital 7930 Floyd Curl Dr., San Antonio A9577 $230 [source] 4 years ago
Baptist Medical Center 111 Dallas St., San Antonio A9577 $230 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station A9577 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor A9577 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls A9577 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham A9577 $236 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy A9577 $284 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville A9577 $284 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda A9577 $284 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin A9577 $284 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano A9577 $355 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple A9577 $355 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth A9577 $355 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano A9577 $355 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving A9577 $355 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney A9577 $355 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco A9577 $355 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano A9577 $355 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas A9577 $355 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey A9577 $355 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine A9577 $355 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie A9577 $355 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton A9577 $355 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett A9577 $355 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston A9577 $378 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9577 $431 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9577 $431 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9577 $431 [source] 4 years ago
St. David's Healthcare , Round Rock A9577 $621 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9577 $660 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9577 $854 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth A9577 $927 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9577 $1,022 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9577 $1,981 [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.