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HCPCS A9575
GADOTERATE MEGLUMINE IV SOLN 5 MMOL/10ML (0.5 MMOL/ML) - as described in hospitals' own price files.
5hospitals publishing a price
$43.20median cash price
$1.52median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Mat-Su Regional Medical Center | Palmer, AK | $0.60 | $1.52 | $2.00 | $0.21 - $1.92 |
| Grace Surgical Hospital | Lubbock, TX | $37.80 | - | $90.00 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $43.20 | - | $90.00 | - |
| Healdsburg Hospital | Healdsburg, CA | $46.28 | - | $90.75 | - |
| Providence Regional Medical Center Everett | Everett, WA | $46.80 | - | $90.00 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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