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
Huntingdon, TN
See all hospitals reporting HCPCS A9575 →Price type
Baptist Memorial Hospital-Carroll County’s median price of $62 is 13045% above the median hospital's median price ($0), higher than 79% 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: 7 payers, 21 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 | Aetna medicare facility · fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 2 | Cigna local plus facility · fee schedule · outpatient | $0.15 | $0.15 | $0.15 – $0.15 |
| 3 | Cigna ppo facility · fee schedule · outpatient | $0.15 | $0.15 | $0.15 – $0.15 |
| 4 | Oscar commercial facility · fee schedule · outpatient | $0.15 | $0.15 | $0.15 – $0.15 |
| 5 | Blue Cross Blue Shield tenncare facility · fee schedule · outpatient | $0.25 | $0.25 | $0.25 – $0.25 |
| 6 | Blue Cross Blue Shield coverkids facility · fee schedule · outpatient | $0.27 | $0.27 | $0.27 – $0.27 |
| 7 | Blue Cross Blue Shield bluecare facility · fee schedule · outpatient | $0.41 | $0.41 | $0.41 – $0.41 |
| 8 | Blue Cross Blue Shield network e facility · percent of total billed charges · outpatientfrom % of charges | $48.51 | $107.14 | $12.78 – $450.01 |
| 9 | Blue Cross Blue Shield network l facility · percent of total billed charges · outpatientfrom % of charges | $53.62 | $118.41 | $14.13 – $497.38 |
| 10 | Blue Cross Blue Shield network s facility · percent of total billed charges · outpatientfrom % of charges | $53.62 | $118.41 | $14.13 – $497.38 |
| 11 | Cigna ifp facility · percent of total billed charges · outpatientfrom % of charges | $55.27 | $122.08 | $14.57 – $512.78 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $73.66 | $162.68 | $19.41 – $683.31 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $73.66 | $162.68 | $19.41 – $683.31 |
| 14 | Blue Cross Blue Shield network p facility · percent of total billed charges · outpatientfrom % of charges | $76.59 | $169.16 | $20.18 – $710.55 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $79.78 | $176.21 | $21.02 – $740.16 |
| 16 | Humana cpos/hmo/npos/ppo facility · percent of total billed charges · inpatientfrom % of charges | $84.25 | $186.08 | $22.20 – $781.61 |
| 17 | Humana cpos/hmo/npos/ppo facility · percent of total billed charges · outpatientfrom % of charges | $84.25 | $186.08 | $22.20 – $781.61 |
| 18 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $95.74 | $211.45 | $25.23 – $888.19 |
| 19 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $95.74 | $211.45 | $25.23 – $888.19 |
| 20 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $95.74 | $211.45 | $25.23 – $888.19 |
| 21 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $95.74 | $211.45 | $25.23 – $888.19 |
Last updated: Feb 27, 2026
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