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 Magellan 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.
Filter by billing methodology
Filter by billing class
22 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 1 | $0.89 | $0.89 – $0.89 |
| 2 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 1 | $394.20 | $217.80 – $570.60 |
| 3 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 1 | $394.20 | $217.80 – $570.60 |
| 4 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.95 | $1.10 – $12.17 |
| 5 | Lovelace Health System, LLC Albuquerque, NM facility · percent of total billed charges · bothfrom % of charges | 1 | $179.05 | $179.05 – $179.05 |
| 6 | Lovelace Health System, LLC Roswell, NM facility · percent of total billed charges · bothfrom % of charges | 1 | $128.15 | $40.17 – $192.03 |
| 7 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 2 | $212.15 | $181.85 – $242.44 |
| 8 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $321.95 | $321.95 – $321.95 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $110.34 | $57.00 – $171.00 |
| 10 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $414.39 | $414.39 – $414.39 |
| 11 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $792.30 | $87.15 – $1,370 |
| 12 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $501.12 | $501.12 – $501.12 |
| 13 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 1 | $208.65 | $83.55 – $333.75 |
| 14 | Penn Medicine Princeton Medical Center Princeton, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $249.67 | $84.00 – $930.00 |
| 15 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $249.67 | $84.00 – $930.00 |
| 16 | Progress West Hospital O'Fallon, MO percent of total billed charges · bothfrom % of charges | 1 | $10.25 | $0.89 – $14.95 |
| 17 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $33.00 | $33.00 – $33.00 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $19.12 | $15.05 – $23.18 |
| 19 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $154.50 | $154.50 – $154.50 |
| 20 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $34.20 | $34.20 – $34.20 |
| 21 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $229.95 | $229.95 – $229.95 |
| 22 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $65.67 | $27.02 – $121.36 |
← Payers reporting HCPCS A9575 · Snapshot 20261108T203506Z-bb90dbab