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
$2
Average
$222
Median
$10
High
$1.2k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 170.6× 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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13 hospital rates
iThe hospitals that file a Regence 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $572 | $563 | $252 | 45% | 721 | $224 – $1.0k |
| 2 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $8 | $2 | 25% | 3–30 | $5 – $9 |
| 3 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $462 | $561 | $463 | 83% | — | $45 – $1.4k |
| 5 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $591 | $1.2k | $1.3k | 104% | — | $115 – $3.9k |
| 7 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT facility · percent of total billed charges · outpatientfrom % of charges | 4 | $591 | $1.2k | $1.3k | 104% | — | $115 – $3.9k |
| 8 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 10 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $53 | $53 | $6 | 11% | — | $47 – $59 |
| 11 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Payers reporting HCPCS A9573 · Snapshot 20261111T120946Z-9134e7f7