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 Regence 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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52 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $153.70 | $68.67 – $256.45 |
| 2 | Cottage Grove Community Medical Ct Cottage Grove, OR facility · percent of total billed charges · inpatientfrom % of charges | 2 | $23.30 | $14.00 – $32.59 |
| 3 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $356.43 | $356.43 – $356.43 |
| 4 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $136.84 | $75.90 – $264.26 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763.00 | $763.00 – $763.00 |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $131.94 | $76.64 – $266.76 |
| 7 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 8 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 9 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 10 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 11 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 12 | IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital Fillmore, UT professional · fee schedule · outpatient | 2 | $0.14 | $0.14 – $0.14 |
| 13 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT professional · fee schedule · outpatient | 1 | $0.12 | $0.12 – $0.12 |
| 14 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 15 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 17 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 18 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Sanpete Valley Hospital Mt Pleasant, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital Spanish Fork, UT professional · fee schedule · outpatient | 1 | $0.14 | $0.14 – $0.14 |
| 24 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $379.23 | $47.52 – $1,969 |
| 25 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT facility · percent of total billed charges · outpatientfrom % of charges | 4 | $379.23 | $47.52 – $1,969 |
← Payers reporting HCPCS A9575 · Snapshot 20261108T203506Z-bb90dbab