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 Wellmark 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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57 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $113.89 | $59.70 – $227.75 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $108.21 | $56.72 – $216.37 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $0.12 | $0.12 – $0.12 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $0.12 | $0.12 – $0.12 |
| 5 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $0.12 | $0.12 – $0.12 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $356.43 | $356.43 – $356.43 |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · other · outpatient | 1 | $331.97 | $331.97 – $331.97 |
| 8 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $0.12 | $0.12 – $0.12 |
| 9 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $136.84 | $75.90 – $264.26 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763.00 | $763.00 – $763.00 |
| 11 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $131.94 | $76.64 – $266.76 |
| 12 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $168.35 | $168.35 – $168.35 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $9.37 | $9.37 – $9.37 |
| 14 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $64.10 | $64.10 – $64.10 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $23.96 | $9.58 – $38.34 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 2 | $22.00 | $22.00 – $22.00 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 2 | $356.43 | $356.43 – $356.43 |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $372.20 | $372.20 – $372.20 |
| 19 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $93.31 | $93.31 – $93.31 |
| 20 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $55.32 | $55.32 – $55.32 |
| 21 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · both | 1 | $178.35 | $127.58 – $214.66 |
| 22 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $103.45 | $74.00 – $124.50 |
| 23 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83.83 | $59.96 – $100.89 |
| 24 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $89.18 | $63.79 – $107.33 |
| 25 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $76.69 | $54.86 – $92.30 |
← Payers reporting HCPCS A9575 · Snapshot 20261108T203506Z-bb90dbab