NDC 65219-0084-01
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
GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION
Reported by 14 hospitals in the network under the percent of billed charges methodology.
Low
$12
Average
$58
Median
$59
High
$107
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 2.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Std dev | Approximate 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. | ||||
|---|---|---|---|---|---|---|---|---|
| 1 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY | CITY, IN | $7 | $36 | $53 | 529 | $1 | $169 |
| 2 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital | St. George, UT | $113 | $107 | $20 | — | $3 | $119 |
| 3 | Henry Ford Health System | Detroit, MI | $56 | $55 | $13 | — | $28 | $80 |
| 4 | Henry Ford Health System | West Bloomfield, MI | $57 | $56 | $16 | — | $28 | $80 |
| 5 | Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $53 | $53 | $14 | — | $28 | $73 |
| 6 | Henry Ford Wyandotte Hospital | Wyandotte, MI | $57 | $52 | $11 | — | $28 | $63 |
| 7 | WA Foote Memorial Hospital | Jackson, MI | $56 | $61 | $18 | — | $28 | $84 |
| 8 | Parkview Medical Center, Inc | Pueblo West, CO | $41 | $38 | $12 | — | $0 | $55 |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $64 | $64 | $28 | — | $0 | $106 |
| 10 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $64 | $65 | $29 | — | $0 | $106 |
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