NDC 65219-0084-15
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 15 hospitals in the network under the fee schedule methodology.
Low
$0
Average
$11
Median
$1
High
$35
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 15 hospitals; the 90th percentile is 141.3× 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 | 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 | Henry Ford Health System | Detroit, MI | $0 | $0 | $0 | — | $0 | $0 |
| 2 | Henry Ford Health System | West Bloomfield, MI | $0 | $0 | $0 | — | $0 | $0 |
| 3 | Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $0 | $0 | $0 | — | $0 | $0 |
| 4 | Henry Ford Wyandotte Hospital | Wyandotte, MI | $0 | $0 | $0 | — | $0 | $0 |
| 5 | WA Foote Memorial Hospital | Jackson, MI | $0 | $0 | $0 | — | $0 | $0 |
| 6 | Curators of the University of Missouri | Columbia, MO | $0 | $0 | $0 | — | $0 | $0 |
| 7 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $0 | $18 | $39 | — | $0 | $106 |
| 8 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $0 | $21 | $42 | — | $0 | $106 |
| 9 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center | Philadelphia, PA | $0 | $20 | $39 | — | $0 | $106 |
| 10 | The Chester County Hospital | West Chester, PA | $0 | $26 | $41 | — | $0 | $106 |
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