What is the standard insurance baseline for HCPCS A9579?

The standard insurance baseline reimbursement rate is $1.54. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Gadolinium-based Magnetic Resonance Contrast Agent Not Otherwise Specified Nos per Ml

HCPCS A9579Medical Service

Injection Gadolinium-based Magnetic Resonance Contrast Agent Not Otherwise Specified Nos per Ml

Q: What do doctors typically charge for Injection Gadolinium-based Magnetic Resonance Contrast Agent Not Otherwise Specified Nos per Ml?

The nationwide median physician charge for Injection Gadolinium-based Magnetic Resonance Contrast Agent Not Otherwise Specified Nos per Ml (HCPCS A9579) is $6.93. Doctor billed charges vary based on geographic region, setting, and overhead.

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml. Clinical pricing breakdown and utilization metrics across 777 practicing doctors nationwide.

$6.93

Peer Median Charge

Gross billed rate

$1.54

Standard Baseline

Customary allowable

4.5x

National Markup

Charge vs baseline

777

Active Physicians

Billing this code

Planning care or already received a bill for CPT A9579?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $6.93. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $1.54 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code A9579 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"