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
Texas
Hospital Address Code Price Last Updated
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston A9579 $3 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen A9579 $5 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway A9579 $5 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston A9579 $8 [source] 4 years ago
St. David's Healthcare , Round Rock A9579 $21 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson A9579 $23 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas A9579 $24 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston A9579 $25 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco A9579 $34 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth A9579 $34 [source] 4 years ago
Northeast Baptist Hospital 8811 Village Dr., San Antonio A9579 $40 [source] 4 years ago
St. Luke's Baptist Hospital 7930 Floyd Curl Dr., San Antonio A9579 $40 [source] 4 years ago
Baptist Medical Center 111 Dallas St., San Antonio A9579 $40 [source] 4 years ago
Mission Trail Baptist Hospital 3333 Research Plaza, San Antonio A9579 $40 [source] 4 years ago
North Central Baptist Hospital 520 Madison Oak Dr., San Antonio A9579 $40 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison A9579 $50 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen A9579 $143 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen A9579 $143 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg A9579 $143 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo A9579 $186 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass A9579 $195 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station A9579 $207 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham A9579 $207 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor A9579 $207 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls A9579 $207 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen A9579 $211 [source] 4 years ago
Parkview Regional Hospital 600 South Bonham Street, Mexia A9579 $219 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda A9579 $249 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin A9579 $249 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville A9579 $249 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy A9579 $249 [source] 4 years ago
Doctors Hospital Of Laredo 10700 Mcpherson Road, Laredo A9579 $260 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco A9579 $311 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine A9579 $311 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney A9579 $311 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano A9579 $311 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth A9579 $311 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano A9579 $311 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving A9579 $311 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton A9579 $311 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie A9579 $311 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey A9579 $311 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple A9579 $311 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett A9579 $311 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano A9579 $311 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas A9579 $311 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville A9579 $411 [source] 4 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie A9579 $422 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills A9579 $447 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine A9579 $454 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi A9579 $749 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth A9579 $882 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford A9579 $939 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington A9579 $1,014 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving A9579 $1,021 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas A9579 $1,301 [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.