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 10 hospitals in the network under the other methodology.
Low
$0
Average
$40
Median
$35
High
$87
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 8673.0× 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 |
| 2 | Henry Ford Health System | West Bloomfield, MI | $0 | $0 | — | — | $0 | $0 |
| 3 | Henry Ford Macomb Hospital Corporation | Clinton Twp, MI | $0 | $0 | — | — | $0 | $0 |
| 4 | Henry Ford Wyandotte Hospital | Wyandotte, MI | $0 | $0 | — | — | $0 | $0 |
| 5 | WA Foote Memorial Hospital | Jackson, MI | $0 | $0 | — | — | $0 | $0 |
| 6 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania | Philadelphia, PA | $106 | $75 | $38 | — | $0 | $106 |
| 7 | Pennsylvania Hospital of the University of Pennsylvania Health System | Philadelphia, PA | $106 | $87 | $32 | — | $0 | $106 |
| 8 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center | Philadelphia, PA | $106 | $87 | $32 | — | $0 | $106 |
| 9 | The Chester County Hospital | West Chester, PA | $106 | $78 | $35 | — | $0 | $106 |
| 10 | Penn Medicine Princeton Medical Center | Plainsboro, NJ | $106 | $70 | $40 | — | $0 | $106 |
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