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
DOTAREM 10MMOL/20ML PFS
Middlesboro, KY
See all hospitals reporting HCPCS A9575 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $417 is 87732% 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: 8 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 | Anthem commercial fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 2 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $106.95 | $106.95 | $102.82 – $111.08 |
| 3 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $106.95 | $106.95 | $102.82 – $111.08 |
| 4 | Humana choice care percent of total billed charges · outpatientfrom % of charges | $106.95 | $106.95 | $102.82 – $111.08 |
| 5 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $106.95 | $106.95 | $102.82 – $111.08 |
| 6 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $145.63 | $145.63 | $140.00 – $151.25 |
| 7 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $433.97 | $433.97 | $417.20 – $450.73 |
| 8 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $524.25 | $524.25 | $504.00 – $544.50 |
| 9 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $541.73 | $541.73 | $520.80 – $562.65 |
| 10 | Aetna medicare other · outpatient | $877.80 | $877.80 | $877.80 – $877.80 |
| 11 | Optum veterans affairs plan other · outpatient | $1,024 | $1,024 | $1,024 – $1,024 |
| 12 | WellCare medicare other · outpatient | $1,244 | $1,244 | $1,244 – $1,244 |
Last updated: Jan 1, 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.