Gadoterate meglumine contrast, 15 mL at Chilton Medical Center

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

Pompton Plains, NJ

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How this price compares nationally

Chilton Medical Center’s median price of $93 is 19489% above the median hospital's median price ($0), higher than 85% 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 Chilton Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 42 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	Medicaid cmc medicaid percent of total billed charges · outpatientfrom % of charges	$0.08	$0.08	$0.08 – $0.08
2	Aetna Better Health cmc aetna better health percent of total billed charges · outpatientfrom % of charges	$1.81	$1.81	$1.81 – $1.81
3	Aetna cmc aetna whole health per diem · both	$30.59	$30.59	$20.39 – $40.78
4	Anthem cmc medicaid percent of total billed charges · bothfrom % of charges	$12.56	$31.19	$6.28 – $74.74
5	Medicaid cmc medicaid percent of total billed charges · bothfrom % of charges	$12.56	$31.19	$6.28 – $74.74
6	Aetna cmc aetna per diem · both	$34.00	$34.00	$22.67 – $45.33
7	Aetna Better Health cmc aetna better health percent of total billed charges · bothfrom % of charges	$15.06	$37.42	$7.53 – $89.66
8	UnitedHealthcare united non-tertiary per diem · both	$44.15	$44.15	$29.43 – $58.86
9	Cigna cmc cigna oap per diem · both	$90.68	$90.68	$60.45 – $120.91
10	UnitedHealthcare oxford non-tertiary percent of total billed charges · bothfrom % of charges	$48.82	$121.28	$24.41 – $290.61
11	Humana cmc qualcare percent of total billed charges · bothfrom % of charges	$60.21	$149.57	$30.11 – $358.38
12	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$60.21	$149.57	$30.11 – $358.38
13	Oscar cmc qualcare percent of total billed charges · bothfrom % of charges	$60.21	$149.57	$30.11 – $358.38
14	Phcs phcs primary network percent of total billed charges · bothfrom % of charges	$60.21	$149.57	$30.11 – $358.38
15	First Health first health percent of total billed charges · bothfrom % of charges	$71.16	$176.76	$35.58 – $423.54
16	MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges	$76.63	$190.36	$38.32 – $456.12
17	Oscar cmc qualcare percent of total billed charges · outpatientfrom % of charges	$234.58	$234.58	$234.58 – $234.58
18	Aetna cmc aetna ahs employee other · outpatient	$414.39	$414.39	$414.39 – $414.39
19	Aetna cmc aetna medicare fee schedule · outpatient	$414.39	$414.39	$414.39 – $414.39
20	Aetna cmc aetna nnj prime other · outpatient	$414.39	$414.39	$414.39 – $414.39
21	Ambetter cmc ambetter wellcare of nj other · outpatient	$414.39	$414.39	$414.39 – $414.39
22	Anthem cmc horizon braven other · outpatient	$414.39	$414.39	$414.39 – $414.39
23	Blue Cross Blue Shield cmc horizon braven other · outpatient	$414.39	$414.39	$414.39 – $414.39
24	Cigna cmc cigna medicare fee schedule · outpatient	$414.39	$414.39	$414.39 – $414.39
25	Highmark cmc highmark wholecare / gateway health plan inc other · outpatient	$414.39	$414.39	$414.39 – $414.39

Page 1 of 2 · 42 rates

Last updated: Apr 1, 2026

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