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 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION
Tulsa, OK
See all hospitals reporting HCPCS A9575 →Price type
AHS Hillcrest Medical Center, LLC’s median price of $407 is 85673% above the median hospital's median price ($0), higher than 97% of the 1,486 hospitals reporting HCPCS A9575. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $239.86 | $239.86 | $72.29 – $407.42 |
| 2 | Oscar oscar insurance company [700500] facility · percent of total billed charges · bothfrom % of charges | $239.86 | $239.86 | $72.29 – $407.42 |
| 3 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $370.34 | $370.34 | $111.62 – $629.06 |
| 4 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $370.34 | $370.34 | $111.62 – $629.06 |
| 5 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $370.34 | $370.34 | $111.62 – $629.06 |
| 6 | Healthcare Highways taro health plan [221010] facility · percent of total billed charges · bothfrom % of charges | $370.34 | $370.34 | $111.62 – $629.06 |
| 7 | Medica medica quest [291001] facility · percent of total billed charges · bothfrom % of charges | $544.96 | $544.96 | $164.25 – $925.66 |
| 8 | MultiPlan providence health plan [168004] facility · percent of total billed charges · bothfrom % of charges | $544.96 | $544.96 | $164.25 – $925.66 |
| 9 | Phcs lifestyle health plans [178013] facility · percent of total billed charges · bothfrom % of charges | $700.38 | $700.38 | $211.09 – $1,190 |
| 10 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $825.11 | $825.11 | $248.69 – $1,402 |
| 11 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $825.11 | $825.11 | $248.69 – $1,402 |
Last updated: Mar 31, 2026
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