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
$235
Median
$125
High
$801
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 2623.6× 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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112 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $801 | $801 | — | — | 822 | $801 – $801 |
| 2 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $204 | $204 | — | — | 112 | $204 – $204 |
| 3 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $312 | $312 | — | — | 49 | $312 – $312 |
| 4 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $312 | $312 | — | — | 49 | $312 – $312 |
| 5 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $432 | $432 | — | — | 26 | $432 – $432 |
| 6 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $202 | $202 | — | — | 26 | $202 – $202 |
| 7 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $238 | $238 | — | — | 26 | $238 – $238 |
| 8 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $700 | $700 | — | — | 26 | $700 – $700 |
| 9 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $700 | $700 | — | — | 26 | $700 – $700 |
| 10 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $48 | $48 | — | — | 25 | $48 – $48 |
| 11 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | — | — | 25 | $238 – $238 |
| 12 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $155 | $155 | — | — | 21 | $155 – $155 |
| 13 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | $29 | 16% | 21 | $155 – $213 |
| 14 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $46 | $18 | 40% | 15 | $28 – $65 |
| 15 | Platte Healthcare Platte, SD outpatient | 1 | $600 | $600 | — | — | 11 | $600 – $600 |
| 16 | Platte Healthcare Platte, SD percent of total billed charges · outpatientfrom % of charges | 1 | $800 | $800 | — | — | 11 | $800 – $800 |
| 17 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $96 | $46 | 48% | 11 | $50 – $142 |
| 18 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $400 | $400 | — | — | 6–60 | $400 – $400 |
| 19 | Osceola Regional Health Center Sibley, IA case rate · outpatient | 2 | $640 | $640 | — | — | 4–40 | $640 – $640 |
| 20 | Avera Flandreau Hospital Flandreau, SD outpatient | 1 | $435 | $435 | — | — | 3–30 | $435 – $435 |
| 21 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $466 | $383 | $236 | 62% | 3–30 | $62 – $621 |
| 22 | Avera Dell Rapids Hospital Dell Rapids, SD outpatient | 1 | $590 | $590 | — | — | 2–20 | $590 – $590 |
| 23 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $630 | $630 | $90 | 14% | 2–20 | $540 – $720 |
| 24 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $720 | $720 | — | — | 2–20 | $720 – $720 |
| 25 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $700 | $700 | $100 | 14% | 2–20 | $600 – $800 |
← Payers reporting HCPCS A9585 · Snapshot 20261111T120946Z-9134e7f7