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
Jonesboro, AR
See all hospitals reporting HCPCS A9575 →Price type
Baptist Memorial Hospital-NEA’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, 19 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 | Caresource medicaid facility · fee schedule · outpatient | $0.56 | $0.56 | $0.56 – $0.56 |
| 3 | Cigna medicare facility · percent of total billed charges · inpatientfrom % of charges | $12.77 | $28.19 | $3.36 – $118.42 |
| 4 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $12.77 | $28.19 | $3.36 – $118.42 |
| 5 | Humana pho facility · percent of total billed charges · inpatientfrom % of charges | $31.92 | $70.48 | $8.41 – $296.06 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $38.30 | $84.58 | $10.09 – $355.27 |
| 7 | 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 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $48.89 | $107.98 | $12.88 – $453.57 |
| 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 commercial facility · percent of total billed charges · outpatientfrom % of charges | $66.38 | $146.61 | $17.49 – $615.81 |
| 11 | Blue Cross Blue Shield trueblue exchange ppo/trueblue non-exchange ppo facility · percent of total billed charges · outpatientfrom % of charges | $66.38 | $146.61 | $17.49 – $615.81 |
| 12 | Aetna pho facility · percent of total billed charges · inpatientfrom % of charges | $70.21 | $155.06 | $18.50 – $651.34 |
| 13 | Aetna pho facility · percent of total billed charges · outpatientfrom % of charges | $70.21 | $155.06 | $18.50 – $651.34 |
| 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 medicare facility · percent of total billed charges · inpatientfrom % of charges | $76.59 | $169.16 | $20.18 – $710.55 |
| 16 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $76.59 | $169.16 | $20.18 – $710.55 |
| 17 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $82.98 | $183.26 | $21.87 – $769.76 |
| 18 | MultiPlan complementary network facility · percent of total billed charges · outpatientfrom % of charges | $89.36 | $197.36 | $23.55 – $828.98 |
| 19 | Humana pho 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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