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
Amarillo, TX
See all hospitals reporting HCPCS A9575 →Price type
BSA Hospital’s median price of $263 is 55163% above the median hospital's median price ($0), higher than 95% 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: 9 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 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $44.91 | $45.84 | $32.76 – $61.78 |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $44.91 | $45.84 | $32.76 – $61.78 |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $187.11 | $191.00 | $136.50 – $257.40 |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $187.11 | $191.00 | $136.50 – $257.40 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $187.11 | $191.00 | $136.50 – $257.40 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $187.11 | $191.00 | $136.50 – $257.40 |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $187.11 | $191.00 | $136.50 – $257.40 |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $187.11 | $191.00 | $136.50 – $257.40 |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $187.11 | $191.00 | $136.50 – $257.40 |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $205.34 | $209.61 | $149.80 – $282.48 |
| 11 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $294.09 | $300.22 | $214.55 – $404.58 |
| 12 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $294.09 | $300.22 | $214.55 – $404.58 |
| 13 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $311.84 | $318.34 | $227.50 – $429.00 |
| 14 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $335.83 | $342.83 | $245.00 – $462.00 |
| 15 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $335.83 | $342.83 | $245.00 – $462.00 |
| 16 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $335.83 | $342.83 | $245.00 – $462.00 |
| 17 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $348.78 | $356.05 | $254.45 – $479.82 |
| 18 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $359.82 | $367.31 | $262.50 – $495.00 |
| 19 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $359.82 | $367.31 | $262.50 – $495.00 |
| 20 | Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges | $407.79 | $416.29 | $297.50 – $561.00 |
| 21 | MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges | $407.79 | $416.29 | $297.50 – $561.00 |
Last updated: Feb 12, 2026
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