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 INTRAVENOUS SYRINGE
Omaha, NE
See all hospitals reporting HCPCS A9575 →Price type
Alegent Health Immanuel Medical Center’s median price of $59 is 12321% above the median hospital's median price ($0), higher than 78% 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, 12 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 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 3 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $0.20 | $0.20 | $0.20 – $0.20 |
| 4 | Medica commercial|aco fee schedule · outpatient | $0.27 | $0.27 | $0.27 – $0.27 |
| 5 | Medica commercial|chi health fee schedule · outpatient | $0.29 | $0.29 | $0.29 – $0.29 |
| 6 | Medica commercial|all other plans fee schedule · outpatient | $0.30 | $0.30 | $0.30 – $0.30 |
| 7 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $20.70 | $26.58 | $13.93 – $53.15 |
| 8 | Medica commercial|open access fee schedule · outpatient | $76.86 | $98.71 | $51.74 – $197.39 |
| 9 | Phcs commercial|all plans fee schedule · inpatient | $104.95 | $134.78 | $70.65 – $269.51 |
| 10 | Phcs commercial|all plans fee schedule · outpatient | $110.85 | $142.37 | $74.63 – $284.69 |
| 11 | MultiPlan commercial|all plans fee schedule · inpatient | $125.63 | $161.35 | $84.58 – $322.65 |
| 12 | MultiPlan commercial|all plans fee schedule · outpatient | $125.63 | $161.35 | $84.58 – $322.65 |
Last updated: Feb 28, 2026
See Gadoterate meglumine contrast, 15 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.