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 Medicaid 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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46 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $4.00 | $4.00 – $4.00 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $5.30 | $5.30 – $5.30 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $0.12 | $0.09 – $0.16 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $0.10 | $0.08 – $0.13 |
| 5 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $3.55 | $0.19 – $16.33 |
| 6 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $15.01 | $3.02 – $35.96 |
| 7 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $31.19 | $6.28 – $74.74 |
| 8 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $0.08 | $0.08 – $0.08 |
| 9 | Fairway Medical Center Covington, LA fee schedule · both | 1 | $252.18 | $173.63 – $330.72 |
| 10 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $1.20 | $1.20 – $1.20 |
| 11 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $1.08 | $1.08 – $1.08 |
| 12 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $18.60 | $4.04 – $48.11 |
| 13 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $190.42 | $190.42 – $190.42 |
| 14 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $3.18 | $3.18 – $3.18 |
| 15 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $330.00 | $330.00 – $330.00 |
| 16 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $73.78 | $73.78 – $73.78 |
| 17 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $87.50 | $75.00 – $100.00 |
| 18 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $81.38 | $69.75 – $93.00 |
| 19 | Mercy Specialty Hospital Southeast Kansas Galena, KS facility · fee schedule · outpatient | 2 | $32.50 | $11.00 – $54.00 |
| 20 | Mercy Specialty Hospital Southeast Kansas Galena, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29.30 | $29.30 – $29.30 |
| 21 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $39.47 | $7.94 – $94.57 |
| 22 | Morristown Medical Center Morristown, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $0.11 | $0.11 – $0.11 |
| 23 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $38.94 | $8.46 – $100.73 |
| 24 | Newton Medical Center Newton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $0.11 | $0.11 – $0.11 |
| 25 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1.00 | $1.00 – $1.00 |
← Payers reporting HCPCS A9575 · Snapshot 20261108T203506Z-bb90dbab