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 Soln 10 mL VIAL
Ulm, MN
See all hospitals reporting HCPCS A9575 →Price type
Allina Health Systems’s median price of $0 is 35% below the median hospital's median price ($0), higher than 44% 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: 9 payers, 24 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 | Bcbs Mn bc pmap (n) facility · other · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 2 | Bcbs Mn bc premier(n) facility · other · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 3 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 4 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $0.18 | $0.18 | $0.18 – $0.18 |
| 6 | UnitedHealthcare united healthcare (nr) facility · percent of total billed charges · outpatientfrom % of charges | $0.21 | $0.21 | $0.21 – $0.21 |
| 7 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $0.09 | $1.63 | $0.09 – $7.51 |
| 8 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $0.14 | $2.58 | $0.14 – $11.86 |
| 9 | Medicaid medicaid ma (n) facility · other · outpatient | $0.19 | $3.55 | $0.19 – $16.33 |
| 10 | Medica medica medicare (r) facility · fee schedule · outpatient | $0.19 | $3.60 | $0.19 – $16.57 |
| 11 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $0.19 | $3.64 | $0.19 – $16.79 |
| 12 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $0.20 | $3.77 | $0.20 – $17.35 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $0.26 | $4.96 | $0.26 – $22.86 |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $0.27 | $5.01 | $0.27 – $23.09 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $0.28 | $5.36 | $0.28 – $24.70 |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $0.29 | $5.41 | $0.29 – $24.94 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $0.34 | $6.47 | $0.34 – $29.85 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $0.35 | $6.62 | $0.35 – $30.51 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $0.36 | $6.80 | $0.36 – $31.34 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $0.36 | $6.80 | $0.36 – $31.34 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $0.36 | $6.80 | $0.36 – $31.34 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $0.36 | $6.85 | $0.36 – $31.56 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $0.37 | $6.92 | $0.37 – $31.87 |
| 24 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $21.77 | $21.77 | $17.42 – $26.12 |
Last updated: Jun 16, 2026
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