Gadoterate meglumine contrast, 15 mL at Boston Children's Hospital

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

Waltham, MA

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How this price compares nationally

Boston Children's Hospital’s median price of $17 is 3424% above the median hospital's median price ($0), higher than 68% 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 Boston Children's Hospital

Negotiated rates from the hospital’s own file: 8 payers, 16 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	Blue Cross Blue Shield all products sat outpatient fee schedule · both	$0.10	$0.10	$0.10 – $0.10
2	Blue Cross Blue Shield all products inpatient percent of total billed charges · bothfrom % of charges	$12.59	$12.59	$12.59 – $12.59
3	UnitedHealthcare medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges	$13.35	$13.35	$13.35 – $13.35
4	Aetna medicaid inpatient/outpatient percent of total billed charges · bothfrom % of charges	$13.40	$13.40	$13.40 – $13.40
5	Optum medicaid/medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges	$14.51	$14.51	$14.51 – $14.51
6	Blue Cross Blue Shield indem outpatient percent of total billed charges · bothfrom % of charges	$14.74	$14.74	$14.74 – $14.74
7	Optum comm chd onc outpatient percent of total billed charges · bothfrom % of charges	$18.53	$18.53	$18.53 – $18.53
8	UnitedHealthcare comm inpatient/outpatient percent of total billed charges · bothfrom % of charges	$18.65	$18.65	$18.65 – $18.65
9	Aetna comm inpatient/outpatient percent of total billed charges · bothfrom % of charges	$18.72	$18.72	$18.72 – $18.72
10	Optum comm outpatient percent of total billed charges · bothfrom % of charges	$18.98	$18.98	$18.98 – $18.98
11	Cigna all products inpatient percent of total billed charges · bothfrom % of charges	$19.32	$19.32	$18.98 – $19.65
12	Cigna all products outpatient percent of total billed charges · bothfrom % of charges	$19.57	$19.57	$18.98 – $20.15
13	Humana all products inpatient/outpatient percent of total billed charges · bothfrom % of charges	$20.09	$20.09	$20.09 – $20.09
14	First Health all products inpatient/outpatient percent of total billed charges · bothfrom % of charges	$20.54	$20.54	$20.54 – $20.54
15	MultiPlan phcs clients inpatient/outpatient percent of total billed charges · bothfrom % of charges	$20.54	$20.54	$20.54 – $20.54
16	MultiPlan multiplan clients inpatient/outpatient percent of total billed charges · bothfrom % of charges	$21.21	$21.21	$21.21 – $21.21

Last updated: Apr 1, 2026

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