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
Calhoun City, MS
See all hospitals reporting HCPCS A9575 →Price type
Baptist Memorial Hospital-Calhoun’s median price of $93 is 19576% above the median hospital's median price ($0), higher than 85% 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, 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Tricare tricare facility · percent of total billed charges · outpatientfrom % of charges | $52.15 | $115.17 | $13.74 – $483.77 |
| 2 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $54.89 | $121.23 | $14.47 – $509.23 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $54.89 | $121.23 | $14.47 – $509.23 |
| 4 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $55.99 | $123.66 | $14.75 – $519.41 |
| 5 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $56.54 | $124.87 | $14.90 – $524.50 |
| 6 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $57.64 | $127.29 | $15.19 – $534.69 |
| 7 | Humana medicare pho facility · percent of total billed charges · outpatientfrom % of charges | $57.64 | $127.29 | $15.19 – $534.69 |
| 8 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $70.21 | $155.06 | $18.50 – $651.34 |
| 9 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $70.21 | $155.06 | $18.50 – $651.34 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $82.98 | $183.26 | $21.87 – $769.76 |
| 11 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $101.55 | $224.28 | $26.76 – $942.07 |
| 12 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $102.12 | $225.55 | $26.91 – $947.40 |
| 13 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $102.12 | $225.55 | $26.91 – $947.40 |
| 14 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $114.88 | $253.74 | $30.28 – $1,066 |
| 15 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $114.88 | $253.74 | $30.28 – $1,066 |
| 16 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $114.88 | $253.74 | $30.28 – $1,066 |
| 17 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $114.88 | $253.74 | $30.28 – $1,066 |
Last updated: Feb 20, 2026
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