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
$31
Median
$9
High
$404
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 168.6× 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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53 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 2 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $29 | $29 | $4 | 14% | — | $25 – $33 |
| 10 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $92 | $84 | $31 | 37% | — | $36 – $118 |
| 20 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | $7 | 8% | — | $78 – $92 |
| 21 | McLeod Health Dillon, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | McLeod Health Cheraw, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | McLeod Health Manning, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | McLeod Health Florence, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | McLeod Health Beach, SC fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS A9585 · Snapshot 20261111T120946Z-9134e7f7