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
Carthage, MS
See all hospitals reporting HCPCS A9575 →Price type
Baptist Memorial Hospital - Leake’s median price of $74 is 15458% above the median hospital's median price ($0), higher than 81% 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: 10 payers, 18 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 | $41.23 | $91.06 | $10.87 – $382.51 |
| 2 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $43.40 | $95.86 | $11.44 – $402.64 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $43.40 | $95.86 | $11.44 – $402.64 |
| 4 | UnitedHealthcare aarp facility · percent of total billed charges · outpatientfrom % of charges | $43.40 | $95.86 | $11.44 – $402.64 |
| 5 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $44.27 | $97.78 | $11.67 – $410.70 |
| 6 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $44.71 | $98.73 | $11.78 – $414.72 |
| 7 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $45.57 | $100.65 | $12.01 – $422.78 |
| 8 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $45.57 | $100.65 | $12.01 – $422.78 |
| 9 | Humana medicare pho facility · percent of total billed charges · outpatientfrom % of charges | $45.57 | $100.65 | $12.01 – $422.78 |
| 10 | WellCare medicare facility · percent of total billed charges · outpatientfrom % of charges | $45.57 | $100.65 | $12.01 – $422.78 |
| 11 | Molina exchange facility · percent of total billed charges · outpatientfrom % of charges | $80.29 | $177.33 | $21.16 – $744.89 |
| 12 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 13 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 14 | MultiPlan mpi primary network facility · percent of total billed charges · inpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 15 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $102.12 | $225.55 | $26.91 – $947.40 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $102.12 | $225.55 | $26.91 – $947.40 |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $108.51 | $239.64 | $28.59 – $1,007 |
Last updated: Feb 20, 2026
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