Gadoterate meglumine contrast, 15 mL

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN

Payers reporting HCPCS A9575

60 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	426	$0.20	$33.88	$0.09 – $2,071
2	Cigna fee schedule · outpatient · +21 other terms	327	$0.19	$20.01	$0.09 – $3,677
3	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	244	$0.58	$14.83	$0.07 – $2,191
4	Humana fee schedule · outpatient · +18 other terms	161	$0.13	$23.31	$0.09 – $231.55
5	Aetna fee schedule · outpatient · +24 other terms	156	$0.29	$33.53	$0.09 – $1,061
6	Anthem fee schedule · outpatient · +22 other terms	93	$0.14	$9.58	$0.08 – $769.66
7	Caresource fee schedule · outpatient · +14 other terms	58	$0.20	$271.36	$0.12 – $435.05
8	Kaiser fee schedule · both · +18 other terms	41	$0.14	$0.14	$0.10 – $0.19
9	MultiPlan fee schedule · inpatient · +16 other terms	37	$161.35	$283.16	$1.11 – $4,141
10	Superior Healthplan percent of total billed charges · outpatientfrom % of charges · +1 other terms	31	$23.36	$25.23	$3.77 – $87.72
11	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$0.87	$0.79	$0.32 – $1.36
12	Molina fee schedule · outpatient · +18 other terms	30	$0.29	$0.32	$0.12 – $1.20
13	Medica fee schedule · outpatient · +15 other terms	28	$1.00	$30.41	$0.16 – $364.40
14	Oscar facility · fee schedule · outpatient · +11 other terms	26	$0.14	$0.14	$0.10 – $0.15
15	Highmark facility · fee schedule · outpatient · +14 other terms	25	$0.13	$53.79	$0.11 – $356.43
16	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	25	$270.68	$318.64	$0.58 – $693.22
17	Regence professional · fee schedule · outpatient · +9 other terms	20	$0.14	$0.14	$0.12 – $0.14
18	Ambetter other · outpatient · +11 other terms	19	$414.39	$1,897	$0.75 – $3,376
19	Optum professional · fee schedule · outpatient · +13 other terms	19	$19.57	$14.37	$0.10 – $25.90
20	Healthpartners fee schedule · outpatient · +11 other terms	18	$0.14	$0.14	$0.14 – $0.14
21	First Health fee schedule · inpatient · +12 other terms	16	$150.38	$325.97	$4.55 – $4,015
22	Phcs fee schedule · inpatient · +11 other terms	16	$134.78	$115.12	$4.90 – $371.99
23	WellCare professional · fee schedule · outpatient · +12 other terms	15	$0.12	$0.12	$0.09 – $0.16
24	Medical Mutual facility · fee schedule · outpatient · +9 other terms	14	$0.29	$5.03	$0.16 – $1,585
25	Wellmark fee schedule · both · +12 other terms	14	$0.12	$0.13	$0.12 – $0.50

Page 1 of 3 · 60 payers