Gadoterate meglumine contrast, 15 mL at Baptist Memorial Hospital-Crittenden

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION

West Memphis, AR

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How this price compares nationally

Baptist Memorial Hospital-Crittenden’s median price of $60 is 12631% above the median hospital's median price ($0), higher than 78% of the 1,486 hospitals reporting HCPCS A9575. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9575 at Baptist Memorial Hospital-Crittenden

Negotiated rates from the hospital’s own file: 6 payers, 22 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	$0.14	$0.14	$0.14 – $0.14
2	Oscar commercial facility · fee schedule · outpatient	$0.15	$0.15	$0.15 – $0.15
3	Caresource medicaid facility · fee schedule · outpatient	$0.56	$0.56	$0.56 – $0.56
4	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$35.61	$78.94	$8.75 – $355.27
5	Blue Cross Blue Shield trueblue individual metallic-level plan facility · percent of total billed charges · outpatientfrom % of charges	$38.30	$84.58	$10.09 – $355.27
6	Blue Cross Blue Shield network e facility · percent of total billed charges · outpatientfrom % of charges	$48.51	$107.14	$12.78 – $450.01
7	Blue Cross Blue Shield network l facility · percent of total billed charges · outpatientfrom % of charges	$53.62	$118.41	$14.13 – $497.38
8	Blue Cross Blue Shield network s facility · percent of total billed charges · outpatientfrom % of charges	$53.62	$118.41	$14.13 – $497.38
9	MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges	$63.83	$140.97	$16.82 – $592.12
10	Blue Cross Blue Shield firstsource ppo facility · percent of total billed charges · outpatientfrom % of charges	$66.38	$146.61	$17.49 – $615.81
11	Blue Cross Blue Shield hmo/healthadvantage hmo facility · percent of total billed charges · outpatientfrom % of charges	$66.38	$146.61	$17.49 – $615.81
12	Blue Cross Blue Shield preferred payment plan/trueblue exchange ppo/trueblue non-exchange ppo facility · percent of total billed charges · outpatientfrom % of charges	$66.38	$146.61	$17.49 – $615.81
13	Humana cpos/hmo/npos facility · percent of total billed charges · inpatientfrom % of charges	$66.38	$146.61	$17.49 – $615.81
14	MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges	$70.21	$155.06	$18.50 – $651.34
15	Blue Cross Blue Shield lppo facility · percent of total billed charges · inpatientfrom % of charges	$76.59	$169.16	$20.18 – $710.55
16	Blue Cross Blue Shield lppo facility · percent of total billed charges · outpatientfrom % of charges	$76.59	$169.16	$20.18 – $710.55
17	Blue Cross Blue Shield medicare facility · percent of total billed charges · inpatientfrom % of charges	$76.59	$169.16	$20.18 – $710.55
18	Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges	$76.59	$169.16	$20.18 – $710.55
19	Blue Cross Blue Shield network p facility · percent of total billed charges · outpatientfrom % of charges	$76.59	$169.16	$20.18 – $710.55
20	Humana cpos/hmo/npos facility · percent of total billed charges · outpatientfrom % of charges	$79.14	$174.80	$20.86 – $734.24
21	MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges	$95.74	$211.45	$25.23 – $888.19
22	MultiPlan complementary 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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