How much does Medicare pay for HCPCS A9576?

Medicare allowed an average of $1.46 per service and paid $1.14 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $6.10, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code A9576?

Injection, gadoteridol, (prohance multipack), per ml. It was billed 254,995 times to 16,973 Medicare beneficiaries by 329 providers in 2024.

Which specialty bills A9576 most?

Diagnostic Radiology, with 224,799 services from 289 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Physician Assistant, Neurology.

HCPCS A9576

Injection, gadoteridol, (prohance multipack), per ml

$1.46Medicare-allowed amount per service, averaged across 254,995 services

Providers submitted

$6.10

Asking price, not received

Medicare allowed

$1.46

The fee schedule figure

Medicare paid

$1.14

Balance is patient coinsurance

Providers submitted an average of $6.10 for this code and Medicare allowed $1.46 — 4.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $1.14 (78%); the rest is the patient’s coinsurance and deductible.

Services: 254,995
Beneficiaries: 16,973
Providers billing it: 329
Total allowed: $372,293

What Medicare pays for HCPCS A9576

Across 254,995 services billed by 329 providers to 16,973 beneficiaries, Medicare allowed an average of $1.46 per service. That is 15.0 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills A9576

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	224,799	15,181	$1.46	289
Independent Diagnostic Testing Facility (IDTF)	15,376	905	$1.45	11
Physician Assistant	3,423	261	$1.45	2
Neurology	3,089	188	$1.45	7
Cardiology	2,644	104	$1.46	7
Urology	1,622	90	$1.45	4
Family Practice	996	54	$1.47	2
Interventional Radiology	883	66	$1.48	2
Internal Medicine	793	41	$1.44	1
Nurse Practitioner	583	34	$1.47	1
Nuclear Medicine	396	25	$1.46	1
Radiation Oncology	207	13	$1.46	1
Hematology-Oncology	184	11	$1.46	1

A9576 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New York	47,767	$1.46	$1.17	38
Virginia	44,699	$1.46	$1.10	59
Florida	32,072	$1.47	$1.17	27
Colorado	27,770	$1.46	$1.17	47
California	15,371	$1.43	$1.14	29
New Jersey	9,735	$1.46	$1.17	6
Tennessee	9,257	$1.47	$1.16	15
Pennsylvania	9,193	$1.46	$1.11	7
Illinois	7,314	$1.46	$1.11	11
Alabama	6,941	$1.43	$1.14	15
Georgia	5,902	$1.45	$1.14	7
Indiana	4,843	$1.45	$1.12	10
Massachusetts	4,131	$1.47	$1.07	4
Texas	4,023	$1.46	$1.10	9
Arkansas	3,867	$1.46	$1.16	6
New Mexico	3,008	$1.46	$1.16	6
Maryland	2,848	$1.46	$1.13	1
Minnesota	2,671	$1.47	$1.11	4
Oregon	2,595	$1.45	$1.17	4
Kentucky	2,118	$1.46	$1.16	2
Wisconsin	1,916	$1.48	$1.07	4
Utah	1,601	$1.46	$1.12	4
South Carolina	981	$1.50	$1.14	1
District of Columbia	721	$1.46	$1.16	1
Michigan	635	$1.43	$1.16	3
Ohio	574	$1.47	$1.17	2
Maine	496	$1.45	$1.16	1
Idaho	409	$1.48	$1.18	1
Kansas	406	$1.50	$1.19	1
Delaware	356	$1.47	$0.83	1
Arizona	329	$1.50	$1.19	1
Mississippi	231	$1.47	$1.19	1
Missouri	215	$1.48	$1.18	1

Related codes

A9575Injection, gadoterate meglumine, 0.1 ml$0.12
A9585Injection, gadobutrol, 0.1 ml$0.31
A9579Injection, gadolinium-based magnetic resonance contrast agent, not oth$1.47
A9500Technetium tc-99m sestamibi$110.81
A9502Technetium tc-99m tetrofosmin$181.87
A9577Injection, gadobenate dimeglumine (multihance), per ml$1.72
A9555Rubidium rb-82$526.83
A9552Fluorodeoxyglucose f-18 fdg$321.77
A9595Piflufolastat f-18$626.38
A9573Injection, gadopiclenol, 1 ml$5.15
A9578Injection, gadobenate dimeglumine (multihance multipack), per ml$1.74
A9587Gallium ga-68$84.81

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.