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 Kaiser 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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174 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 2 | $2.22 | $0.84 – $3.60 |
| 2 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $416.29 | $297.50 – $561.00 |
| 3 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $212.88 | $86.16 – $363.00 |
| 4 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $41.32 | $8.32 – $99.00 |
| 5 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.13 | $0.72 – $1.60 |
| 6 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.05 | $0.60 – $1.60 |
| 7 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.91 | $1.31 – $2.55 |
| 8 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.56 | $0.92 – $2.34 |
| 9 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $149.57 | $30.11 – $358.38 |
| 10 | City of Hope National Medical Center Duarte, CA percent of total billed charges · outpatientfrom % of charges | 1 | $263.47 | $263.47 – $263.47 |
| 11 | Cottage Grove Community Medical Ct Cottage Grove, OR facility · per diem · inpatient | 1 | $4,795 | $4,795 – $4,795 |
| 12 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $356.43 | $356.43 – $356.43 |
| 13 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 2 | $120.30 | $65.19 – $191.18 |
| 14 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 2 | $312.08 | $148.83 – $513.54 |
| 15 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 2 | $312.08 | $148.83 – $513.54 |
| 16 | DIGNITY COMMUNITY CARE San Luis Obispo, CA fee schedule · inpatient | 1 | $292.02 | $292.02 – $292.02 |
| 17 | DIGNITY COMMUNITY CARE San Luis Obispo, CA fee schedule · outpatient | 1 | $292.02 | $292.02 – $292.02 |
| 18 | DIGNITY COMMUNITY CARE Redwood City, CA fee schedule · inpatient | 1 | $1,199 | $234.08 – $3,718 |
| 19 | DIGNITY COMMUNITY CARE Redwood City, CA fee schedule · outpatient | 1 | $1,199 | $234.08 – $3,718 |
| 20 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 2 | $889.83 | $110.29 – $2,608 |
| 21 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 2 | $628.71 | $65.19 – $3,815 |
| 22 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 2 | $120.30 | $65.19 – $191.18 |
| 23 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $212.88 | $86.16 – $363.00 |
| 24 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.02 | $1.02 – $1.02 |
| 25 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $0.11 | $0.11 – $0.11 |
← Payers reporting HCPCS A9575 · Snapshot 20261108T203506Z-bb90dbab