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
$5
Average
$402
Median
$518
High
$1.1k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 25.9× 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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24 hospital rates
iThe hospitals that file a Devoted 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 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $196 | $393 | $341 | 87% | — | $60 – $972 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $393 | $341 | 87% | — | $60 – $972 |
| 4 | CHRISTUS Hospital - Orange Orange, TX percent of total billed charges · outpatientfrom % of charges | 1 | $542 | $531 | $135 | 25% | — | $299 – $744 |
| 5 | CHRISTUS West Beaumont Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $542 | $531 | $135 | 25% | — | $299 – $744 |
| 6 | Christus Health Southeast Texas Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $542 | $531 | $135 | 25% | — | $299 – $744 |
| 7 | Christus Health Southeast Texas Port Arthur, TX percent of total billed charges · outpatientfrom % of charges | 1 | $542 | $531 | $135 | 25% | — | $299 – $744 |
| 8 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $196 | $393 | $341 | 87% | — | $60 – $972 |
| 9 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $393 | $341 | 87% | — | $60 – $972 |
| 10 | Honokaa Hospital and Skilled Nursing Facility Honokaa, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $126 | $54 | 42% | — | $55 – $185 |
| 11 | Kau Hospital Pahala, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $51 | $22 | 42% | — | $22 – $75 |
| 12 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $20 | $10 | 50% | — | $3 – $26 |
| 13 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | Santa Rosa Hospital - Westover Hills San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $392 | $408 | $189 | 46% | — | $52 – $783 |
| 15 | Southeast Texas - Jasper Memorial Jasper, TX percent of total billed charges · outpatientfrom % of charges | 1 | $561 | $560 | $151 | 27% | — | $374 – $744 |
| 16 | Southeast Texas Orthopedic Specialty Center Port Arthur, TX percent of total billed charges · outpatientfrom % of charges | 1 | $542 | $531 | $135 | 25% | — | $299 – $744 |
| 17 | Spohn Hospital Beeville Beeville, TX percent of total billed charges · outpatientfrom % of charges | 1 | $505 | $505 | $89 | 18% | — | $379 – $631 |
| 18 | Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 1 | $505 | $638 | $257 | 40% | — | $380 – $1.3k |
| 19 | Spohn Hospital Corpus Christi - South Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | $108 | 18% | — | $442 – $757 |
| 20 | Spohn Hospital Corpus Christi - South Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | $108 | 18% | — | $442 – $757 |
| 21 | St. Vincent Regional Medical Center Santa Fe, NM percent of total billed charges · outpatientfrom % of charges | 1 | $528 | $544 | $236 | 43% | — | $233 – $1.1k |
| 22 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $159 | 14% | — | $970 – $1.3k |
| 23 | UCHealth Pikes Peak Regional Hospital Woodland Park, CO percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $51 | $19 | 37% | — | $27 – $72 |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $168 | $147 | $54 | 37% | — | $59 – $194 |
← Payers reporting HCPCS A9573 · Snapshot 20261111T120946Z-9134e7f7