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NDC 50419-0320-05

INJECTION, GADOXETATE DISODIUM, 1 ML

Reported by 71 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Based on 11–110 billing samples across every hospital reporting.

Low

$9

Average

$275

Median

$261

High

$861

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Alegent Creighton HealthOmaha, NE$260$260$2102–20$13$552
2Alegent Health Immanuel Medical CenterOmaha, NE$292$262$2102–20$13$552
3Alegent Health Bergan Mercy Health SystemOmaha, NE$276$262$2092–20$13$552
4Dignity Community CareChandler, AZ$100$306$3821–10$15$1.2k
5Dignity HealthGilbert, AZ$100$282$3551–10$15$1.1k
6Alegent Creighton HealthPapillion, NE$260$261$2091–10$13$552
7Alegent Health Bergan Mercy Health SystemCouncil Bluffs, IA$318$270$2071–10$13$552
8Prisma Health Laurens County HospitalCLINTON, SC$418$425$111–10$26$440
9Mid Columbia Medical CenterDalles, OR$861$861——$359$2.3k
10Dignity Community CareNorthridge, CA$71$161$187—$15$633
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