Injection, gadopiclenol, 1 ml
Medicare pricing data for 250 providers across 20 states
Prices vary significantly by location — from $2 in Rhode Island to $12 in Wisconsin. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Injection, gadopiclenol, 1 ml (HCPCS code A9573) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.66, but hospitals typically charge $14.75 — a 2.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.66, your out-of-pocket cost would be approximately $1.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $5.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wisconsin | $12 | $13 | 31 | 428 | +78.5% |
| Indiana | $12 | $12 | 2 | 285 | +77.3% |
| Mississippi | $11 | $60 | 21 | 2,528 | +71.9% |
| Louisiana | $11 | $62 | 2 | 159 | +70.7% |
| Oklahoma | $11 | $11 | 13 | 516 | +62.8% |
| Alaska | $10 | $11 | 10 | 1,508 | +55.7% |
| Massachusetts | $10 | $42 | 6 | 376 | +50.2% |
| Texas | $10 | $10 | 3 | 267 | +42.9% |
| California | $9 | $9 | 4 | 102 | +30.5% |
| Michigan | $8 | $8 | 4 | 124 | +13.4% |
| Washington | $7 | $7 | 20 | 1,367 | +4.2% |
| Illinois | $6 | $6 | 1 | 181 | -11.4% |
| Nebraska | $6 | $6 | 9 | 234 | -11.4% |
| New Jersey | $5 | $5 | 7 | 2,731 | -27.6% |
| Arkansas | $5 | $11 | 8 | 318 | -31.1% |
| Virginia | $4 | $4 | 1 | 91 | -38.3% |
| New York | $4 | $4 | 35 | 2,002 | -38.6% |
| Pennsylvania | $4 | $4 | 5 | 507 | -40.4% |
| Florida | $4 | $4 | 50 | 4,428 | -45.9% |
| Rhode Island | $2 | $2 | 1 | 88 | -70.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber