Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
GADOPICLENOL 0.5 MMOL/ML IV SOLN
Low
$3
Average
$219
Median
$142
High
$684
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
63 hospitals; the 90th percentile is 96.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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73 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Pittsburg Hospital, LLC Pittsburg, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $98 | $90 | $38 | 42% | 49 | $40 – $131 |
| 2 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | 27 | $44 – $44 |
| 3 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $136 | $136 | — | — | 1–10 | $136 – $136 |
| 4 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | 1–10 | $171 – $171 |
| 5 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $102 | $148 | $122 | 82% | — | $33 – $375 |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $106 | $154 | $126 | 82% | — | $35 – $384 |
| 7 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $104 | $152 | $125 | 82% | — | $34 – $384 |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $103 | $150 | $124 | 82% | — | $33 – $384 |
| 9 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $101 | $147 | $122 | 83% | — | $32 – $384 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 2 | $87 | $88 | $6 | 7% | — | $79 – $97 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $68 | $68 | $5 | 7% | — | $62 – $75 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 2 | $87 | $88 | $6 | 7% | — | $79 – $97 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 2 | $92 | $92 | $7 | 7% | — | $84 – $102 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 2 | $87 | $88 | $6 | 7% | — | $79 – $97 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 2 | $87 | $88 | $6 | 7% | — | $79 – $97 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 2 | $87 | $88 | $6 | 7% | — | $79 – $97 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 2 | $87 | $88 | $6 | 7% | — | $79 – $97 |
| 18 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | $296 | 43% | — | $388 – $980 |
| 20 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | $296 | 43% | — | $388 – $980 |
| 21 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | $296 | 43% | — | $388 – $980 |
| 22 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | $296 | 43% | — | $388 – $980 |
| 23 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | $296 | 43% | — | $388 – $980 |
| 24 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | $296 | 43% | — | $388 – $980 |
| 25 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $684 | $684 | $296 | 43% | — | $388 – $980 |
← Payers reporting HCPCS A9573 · Snapshot 20261111T120946Z-9134e7f7