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 Medical Mutual 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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106 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $243.33 | $205.00 – $300.00 |
| 2 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $243.33 | $205.00 – $300.00 |
| 3 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $0.21 | $0.16 – $0.26 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $36.87 | $36.87 – $36.87 |
| 5 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $26.02 | $17.40 – $34.63 |
| 6 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $100.35 | $77.78 – $122.91 |
| 7 | Coshocton Regional Medical Center Coshocton, OH percent of total billed charges · outpatientfrom % of charges | 1 | $44.50 | $44.50 – $44.50 |
| 8 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $1,585 | $1,585 – $1,585 |
| 9 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $0.21 | $0.16 – $0.26 |
| 10 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $290.25 | $290.25 – $290.25 |
| 11 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $0.21 | $0.16 – $0.26 |
| 12 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $0.21 | $0.16 – $0.26 |
| 13 | Kettering Medical Center Troy, OH fee schedule · outpatient | 2 | $0.21 | $0.16 – $0.26 |
| 14 | Kettering Medical Center Franklin, OH fee schedule · outpatient | 2 | $0.21 | $0.16 – $0.26 |
| 15 | Kettering Medical Center Middletown, OH fee schedule · outpatient | 2 | $0.21 | $0.16 – $0.26 |
| 16 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $0.27 | $0.25 – $0.29 |
| 17 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $38.24 | $37.15 – $39.33 |
| 18 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $2.88 | $2.85 – $2.91 |
| 19 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $31.26 | $26.22 – $36.10 |
| 20 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $2.34 | $2.07 – $2.70 |
| 21 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $32.82 | $25.44 – $40.28 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $84.17 | $84.17 – $84.17 |
| 23 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $91.01 | $91.01 – $91.01 |
| 24 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $91.01 | $91.01 – $91.01 |
| 25 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $91.01 | $91.01 – $91.01 |
← Payers reporting HCPCS A9575 · Snapshot 20261108T203506Z-bb90dbab