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.
Original text from hospital filings
GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN
The hospitals that file a Devoted rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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23 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100.65 | $12.01 – $422.78 |
| 2 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97.78 | $11.67 – $410.70 |
| 3 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97.78 | $11.67 – $410.70 |
| 4 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $123.66 | $14.75 – $519.41 |
| 5 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.40 | $2.40 – $2.40 |
| 6 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.40 | $2.40 – $2.40 |
| 7 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $0.09 | $0.09 – $0.09 |
| 8 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 2 | $0.75 | $0.75 – $0.75 |
| 9 | Hilton Head Medical Center LLC Hilton Head Island, SC percent of total billed charges · bothfrom % of charges | 2 | $0.25 | $0.25 – $0.25 |
| 10 | Honokaa Hospital and Skilled Nursing Facility Honokaa, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154.56 | $116.76 – $198.24 |
| 11 | Kau Hospital Pahala, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62.56 | $47.26 – $80.24 |
| 12 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.91 | $1.48 – $13.18 |
| 13 | Magee Rehabilitation Hospital Philadelphia, PA facility · fee schedule · inpatient | 1 | $0.11 | $0.11 – $0.11 |
| 14 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $147.08 | $147.08 – $147.08 |
| 15 | South Carolina Coastal Medical Center LLC Hardeeville, SC percent of total billed charges · bothfrom % of charges | 2 | $0.75 | $0.75 – $0.75 |
| 16 | The Chester County Hospital West Chester, PA facility · other · outpatient | 1 | $99.87 | $33.60 – $372.00 |
| 17 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $96.86 | $33.60 – $372.00 |
| 18 | UMMC HOLMES COUNTY LEXINGTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $0.20 | $0.20 – $0.20 |
| 19 | USA Health Children's & Women's Hospital Mobile, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $117.95 | $74.20 – $171.33 |
| 20 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $117.95 | $74.20 – $171.33 |
| 21 | University Hospitals Health System Geneva, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.22 | $0.02 – $31.81 |
| 22 | University of Florida Health Gainesville, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $26.08 | $26.08 – $26.08 |
| 23 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $130.50 | $87.00 – $174.00 |
← Payers reporting HCPCS A9575 · Snapshot 20261108T203506Z-bb90dbab