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
Schuyler, NE
See all hospitals reporting HCPCS A9575 →Price type
Alegent Health Memorial Hospital, Schuyler’s median price of $137 is 28641% above the median hospital's median price ($0), higher than 89% 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: 6 payers, 23 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 medicare|all plans fee schedule · outpatient | $75.39 | $96.82 | $50.75 – $193.59 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $75.39 | $96.82 | $50.75 – $193.59 |
| 3 | Medica medicare|all plans fee schedule · outpatient | $75.39 | $96.82 | $50.75 – $193.59 |
| 4 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $75.39 | $96.82 | $50.75 – $193.59 |
| 5 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $84.25 | $108.21 | $56.72 – $216.37 |
| 6 | Blue Cross Blue Shield commercial|blueprint fee schedule · inpatient | $133.40 | $171.32 | $89.80 – $342.58 |
| 7 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $133.40 | $171.32 | $89.80 – $342.58 |
| 8 | Medica commercial|all other plans fee schedule · inpatient | $134.51 | $172.74 | $90.55 – $345.42 |
| 9 | Medica commercial|all other plans fee schedule · outpatient | $134.51 | $172.74 | $90.55 – $345.42 |
| 10 | Medica commercial|chi health fee schedule · inpatient | $134.51 | $172.74 | $90.55 – $345.42 |
| 11 | Medica commercial|chi health fee schedule · outpatient | $134.51 | $172.74 | $90.55 – $345.42 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $140.41 | $180.33 | $94.53 – $360.61 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $140.41 | $180.33 | $94.53 – $360.61 |
| 14 | Medica commercial|aco fee schedule · inpatient | $141.90 | $182.23 | $95.52 – $364.40 |
| 15 | Medica commercial|aco fee schedule · outpatient | $141.90 | $182.23 | $95.52 – $364.40 |
| 16 | Medica commercial|open access fee schedule · inpatient | $141.90 | $182.23 | $95.52 – $364.40 |
| 17 | Medica commercial|open access fee schedule · outpatient | $141.90 | $182.23 | $95.52 – $364.40 |
| 18 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $141.90 | $182.23 | $95.52 – $364.40 |
| 19 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $141.90 | $182.23 | $95.52 – $364.40 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $144.85 | $186.03 | $97.51 – $371.99 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $144.85 | $186.03 | $97.51 – $371.99 |
| 22 | Phcs commercial|all plans fee schedule · inpatient | $144.85 | $186.03 | $97.51 – $371.99 |
| 23 | Phcs commercial|all plans fee schedule · outpatient | $144.85 | $186.03 | $97.51 – $371.99 |
Last updated: Feb 28, 2026
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