Medical Supplies · A9576 · Drug
Injection, Gadoteridol, (prohance Multipack), Per Ml
What Medicare pays for A9576, what providers bill, and how the price varies across 37 states, drawn from CMS 2023 claims data.
- $1.10
- Medicare pays
- $10.72
- Providers bill
- 9.8×
- Markup
- #707 of 9,297
- Volume rank
The verdict
Injection, Gadoteridol, (prohance Multipack), Per Ml posts top-10% national service volume.
- Top 8%
- national service volume
- $1.10
- Medicare pays, national avg
Volume percentile ranks this code's national service volume against every tracked procedure; markup percentile ranks its billed-to-Medicare ratio the same way. The same two figures drive both the verdict sentence and the chips above.
According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.
Jurisdiction coverage for this code
56states and territories in the CMS extract
Price Range Across States
What You Might Pay
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
How we estimate these prices
These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024). We map each PlainProcedure category onto a RAND CPT-section bucket (Surgery, Radiology, Pathology and Laboratory, Medicine, Anesthesia, Evaluation and Management) or fall back to the national average when no bucket matches. For Medical Supplies, the applied ratio is 2.24x Medicare (RAND 2024 national average (2.24x); no matching CPT-section bucket for this category + CMS Medicare baseline). Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.
What the billed charge breaks down into
$10.72
Prices by State
| State | Medicare Payment | Billed Charge |
|---|---|---|
| Rhode Island | $1.13 | $5.00 |
| Alaska | $1.12 | $6.00 |
| Ohio | $1.12 | $9.63 |
| Kentucky | $1.12 | $8.13 |
| Louisiana | $1.12 | $16.97 |
| Connecticut | $1.12 | $2.98 |
| Kansas | $1.12 | $51.43 |
| Michigan | $1.12 | $9.59 |
| Hawaii | $1.12 | $3.64 |
| Georgia | $1.12 | $28.50 |
| Florida | $1.12 | $7.17 |
| Idaho | $1.12 | $5.67 |
| New Jersey | $1.12 | $2.57 |
| Missouri | $1.11 | $4.93 |
| New York | $1.11 | $17.40 |
| New Mexico | $1.11 | $2.05 |
| Colorado | $1.11 | $4.04 |
| Arizona | $1.11 | $10.01 |
| Maryland | $1.11 | $8.19 |
| Texas | $1.11 | $6.08 |
| Massachusetts | $1.10 | $4.68 |
| Oregon | $1.10 | $9.51 |
| South Carolina | $1.10 | $2.86 |
| Utah | $1.10 | $4.28 |
| California | $1.09 | $9.82 |
| Tennessee | $1.09 | $2.59 |
| Arkansas | $1.09 | $3.01 |
| Washington | $1.08 | $12.35 |
| Minnesota | $1.08 | $3.12 |
| Alabama | $1.08 | $2.51 |
| Pennsylvania | $1.08 | $3.74 |
| Indiana | $1.08 | $4.49 |
| Illinois | $1.07 | $5.18 |
| Virginia | $1.06 | $17.12 |
| Wisconsin | $1.03 | $5.49 |
| Mississippi | $0.98 | $5.95 |
| North Carolina | $0.95 | $3.03 |
What the Data Says About Injection, Gadoteridol, (prohance Multipack), Per Ml
Across 37 states with reporting providers, CPT code A9576 (Injection, Gadoteridol, (prohance Multipack), Per Ml) shows a national average Medicare payment of $1.10 against an average billed charge of $10.72. That gap, a 9.8x markup, or 878% above the Medicare allowed amount, is not a meaningful ratio for this low-payment code, so treat the billed figure as a chargemaster reference point rather than a real-world price.
Medical Supplies procedures like this one saw 312.3K services billed to Medicare in 2023 by 930 distinct providers, serving 20.0K unique beneficiaries. State-level variation is significant: North Carolina reports the lowest average payment at $0.95, while Rhode Island reports the highest at $1.13. The 19% spread here is a moderate, fairly ordinary GPCI effect, local cost-of-practice adjustments nudging the allowed amount up or down without reshaping it. Applying the RAND 2024 commercial-to-Medicare ratio for this category (2.24x Medicare; RAND 2024 national average (2.24x); no matching CPT-section bucket for this category + CMS Medicare baseline), the estimated commercial insurance price lands near $3.13, with self-pay cash discounts commonly bringing the figure closer to $4.00. Within Medical Supplies, Injection, Gadoteridol, (prohance Multipack), Per Ml ranks #81 of 84 tracked procedures by national average Medicare payment.
Where this sits in the registry
Injection, Gadoteridol, (prohance Multipack), Per Ml (A9576) is a CMS 2023 Part B code. These pages keep the volume map and the markup map separate.
- National volume versus markup on the statistics page, the same two maps as this capsule. Statistics
- Other Medical Supplies codes, ranked by Medicare payment inside the category. Category
- How volume rank and markup rank are computed. Methodology
- The full procedures listing in volume order. Procedures
Figures here are CMS averages, not a quote for any patient, plan, or visit.
Frequently Asked Questions
Where does Injection, Gadoteridol, (prohance Multipack), Per Ml rank among Medicare procedures?
According to CMS Medicare Part B claims, Injection, Gadoteridol, (prohance Multipack), Per Ml (CPT A9576) ranks #707 of 9,297 procedures by national service volume, the same sort as the procedures listing, and #81 of 84 within Medical Supplies by national average Medicare payment. See /methodology#corpus-placement.
How much does Injection, Gadoteridol, (prohance Multipack), Per Ml cost?
Injection, Gadoteridol, (prohance Multipack), Per Ml (CPT A9576) is priced fairly consistently nationwide: Medicare pays $1.10 on average, and the $0.95-$1.13 state range stays relatively tight. Providers typically bill $10.72.
Why do providers charge more than Medicare pays?
Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.
How much does Injection, Gadoteridol, (prohance Multipack), Per Ml cost with insurance?
With commercial insurance, injection, gadoteridol, (prohance multipack), per ml costs an estimated $3.13 on average (range: $2.19-$4.38), a moderate premium over Medicare's $1.10. Without insurance, the estimated cash price is $4.00.
Which state has the lowest cost for Injection, Gadoteridol, (prohance Multipack), Per Ml?
North Carolina and Rhode Island bookend the range for Injection, Gadoteridol, (prohance Multipack), Per Ml, at $0.95 and $1.13 respectively - a relatively tight $0.18 spread nationwide.
How many providers perform Injection, Gadoteridol, (prohance Multipack), Per Ml?
A moderate provider base performs Injection, Gadoteridol, (prohance Multipack), Per Ml: 930 providers nationally, totaling 312.3K Medicare-billed services (20.0K beneficiaries) across 37 states in 2023.
What is the billed-to-Medicare markup for Injection, Gadoteridol, (prohance Multipack), Per Ml?
Providers bill 9.8x what Medicare pays for Injection, Gadoteridol, (prohance Multipack), Per Ml - a markup within the typical range at 878% above the Medicare rate.
Nationwide similar CPT codes
Data-derived peers across the CMS Physician & Other Practitioners extract: nearest national service volume and nearest average Medicare payment. Not clinical substitutes: claim-mass and payment neighborhoods only.
Closest national service volume
Nearest codes with ≥100 services (312.3K here).
Related Guides
Tips to reduce out-of-pocket costs
Your right to upfront pricing
How Medicare payments work
Decode charges and codes
Why bills exceed actual costs
Geographic pricing factors
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology - how this data is sourced, computed, and verified.
Related
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.