Code: A9579

Description:
Description: Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
GAD MR CONT NOS 5 ML
GAD MR CONT NOS 15 ML
GAD MR CONT NOS 20 ML
GAD MR CONT NOS 10 ML
HC INJECTION GADOLINIUM BASED MR CONTRAST NOS ML
INJECTION, GADOLINIUM, PER ML
GADOTERIDOL 279.3 MG/ML INTRAVENOUS SYRINGE
GADOTERIDOL 279.3 MG/ML INTRAVENOUS SOLUTION
GADOLINIUM PER 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: A9575
GADOTERATE MEG 10 ML
Code: A9576
PROHANCE MULTIPK 1 ML
Code: A9577
MULTIHANCE 5 ML
Code: A9578
MULTIHANCE MULTIPAC 1 ML
Kansas
Hospital Address Code Price Last Updated
Saint Luke’s South Hospital 12300 Metcalf Ave, Shawnee Mission A9579 $9 [source] 4 years ago
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan A9579 $10 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg A9579 $10 [source] 4 years ago
Community Hospital Onaga - Technician Services 120 W. 8Th St., Onaga A9579 $16 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission A9579 $30 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission A9579 $41 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa A9579 $257 [source] 4 years ago
Western Plains Medical Complex 3001 Avenue A, Dodge City A9579 $534 [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.