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
Kosciusko, MS
See all hospitals reporting HCPCS A9575 →Price type
Baptist Medical Center-Attala’s median price of $76 is 15915% above the median hospital's median price ($0), higher than 82% 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, 17 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Tricare tricare facility · percent of total billed charges · outpatientfrom % of charges | $42.45 | $93.74 | $11.19 – $393.76 |
| 2 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $44.68 | $98.68 | $11.77 – $414.49 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $44.68 | $98.68 | $11.77 – $414.49 |
| 4 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $45.57 | $100.65 | $12.01 – $422.78 |
| 5 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $46.02 | $101.64 | $12.13 – $426.92 |
| 6 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $46.92 | $103.61 | $12.36 – $435.21 |
| 7 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $46.92 | $103.61 | $12.36 – $435.21 |
| 8 | Humana medicare pho facility · percent of total billed charges · outpatientfrom % of charges | $46.92 | $103.61 | $12.36 – $435.21 |
| 9 | WellCare medicare facility · percent of total billed charges · outpatientfrom % of charges | $46.92 | $103.61 | $12.36 – $435.21 |
| 10 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $82.66 | $182.55 | $21.78 – $766.80 |
| 11 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 12 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 13 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 14 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $111.06 | $245.28 | $29.27 – $1,030 |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $114.88 | $253.74 | $30.28 – $1,066 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $114.88 | $253.74 | $30.28 – $1,066 |
Last updated: Feb 20, 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.