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
Plattsburgh, NY
See all hospitals reporting HCPCS A9575 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $13 is 2605% above the median hospital's median price ($0), higher than 67% 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: 6 payers, 11 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 | Highmark ind/fep facility · fee schedule · outpatient | $0.21 | $0.21 | $0.21 – $0.21 |
| 2 | Highmark ppo/hmo facility · fee schedule · outpatient | $0.21 | $0.21 | $0.21 – $0.21 |
| 3 | Blue Cross Blue Shield blue access facility · fee schedule · outpatient | $0.27 | $0.27 | $0.27 – $0.27 |
| 4 | Blue Cross Blue Shield hmo facility · fee schedule · outpatient | $0.28 | $0.28 | $0.28 – $0.28 |
| 5 | Blue Cross Blue Shield ind facility · fee schedule · outpatient | $0.28 | $0.28 | $0.28 – $0.28 |
| 6 | Blue Cross Blue Shield ppo facility · fee schedule · outpatient | $0.28 | $0.28 | $0.28 – $0.28 |
| 7 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $7.14 | $7.14 | $7.14 – $7.14 |
| 8 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.85 | $12.85 | $12.85 – $12.85 |
| 9 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $26.00 | $26.00 | $26.00 – $26.00 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $27.23 | $27.23 | $27.23 – $27.23 |
| 11 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $33.91 | $33.91 | $33.91 – $33.91 |
Last updated: Apr 28, 2026
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