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
Inj Gadobutrol, 0.1ml
Low
$0
Average
$116
Median
$32
High
$2.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
920 hospitals; the 90th percentile is 639.2× 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.
Filter by billing methodology
Filter by billing class
1,429 hospital rates
iThe hospitals that file a Aetna 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 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $1 | $0 | 15% | 59,062 | $1 – $1 |
| 2 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $151 | $121 | 80% | 4,528 | $39 – $359 |
| 3 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 3,348 | $93 – $93 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 7% | 2,746 | $1 – $1 |
| 5 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $1 | $1 | $0 | 12% | 1,464–1,500 | $1 – $2 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $315 | $558 | $761 | 136% | 1,198 | $0 – $3.2k |
| 7 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $183 | $228 | $204 | 90% | 909 | $19 – $626 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 7 | $44 | $319 | $860 | 270% | 794–803 | $2 – $4.9k |
| 9 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 794 | $97 – $97 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 2 | $140 | $731 | $1.3k | 177% | 655 | $2 – $4.9k |
| 11 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 2 | $184 | $176 | $51 | 29% | 513 | $102 – $254 |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $64 | $66 | $11 | 16% | 415–424 | $48 – $79 |
| 13 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $64 | $66 | $11 | 16% | 415–424 | $48 – $79 |
| 14 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $295 | $575 | $557 | 97% | 316 | $177 – $1.5k |
| 15 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $234 | $641 | $873 | 136% | 292–373 | $48 – $3.6k |
| 16 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $230 | — | — | 281 | $230 – $230 |
| 17 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $230 | — | — | 281 | $230 – $230 |
| 18 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $167 | $168 | $30 | 18% | 260 | $135 – $202 |
| 19 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 5 | $112 | $126 | $54 | 43% | 217 | $54 – $234 |
| 20 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 5 | $34 | $37 | $14 | 38% | 199–226 | $13 – $66 |
| 21 | Thomas Jefferson University Hospital, Inc. Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $301 | $301 | — | — | 162–171 | $301 – $301 |
| 22 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC percent of total billed charges · bothfrom % of charges | 2 | $79 | $73 | $7 | 10% | 157 | $64 – $79 |
| 23 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 5 | $62 | $117 | $122 | 105% | 155 | $13 – $532 |
| 24 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 8 | $175 | $168 | $26 | 16% | 142–160 | $100 – $184 |
| 25 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $35 | $44 | $28 | 64% | 141–168 | $12 – $109 |
← Payers reporting HCPCS A9585 · Snapshot 20261111T120946Z-9134e7f7