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
Tennessee
Hospital Address Code Price Last Updated
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9579 $3 [source] 4 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville A9579 $3 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9579 $3 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9579 $3 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9579 $3 [source] 4 years ago
St. Jude Children's Research Hospital , Memphis A9579 $13 [source] 4 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski A9579 $19 [source] 4 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester A9579 $26 [source] 4 years ago
Southern Tennessee Regional Health System - Lawrenceburg 1607 South Locust Avenue, Lawrenceburg A9579 $62 [source] 4 years ago
Riverview Regional Medical Center 158 Hospital Drive, Carthage A9579 $94 [source] 4 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens A9579 $541 [source] 4 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah A9579 $541 [source] 4 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin A9579 $625 [source] 4 years ago
Trousdale Medical Center 500 Church Street, Hartsville A9579 $1,210 [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.