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
Clovis, CA
See all hospitals reporting HCPCS A9575 →Price type
Clovis Community Medical Center’s median price of $172 is 36083% above the median hospital's median price ($0), higher than 92% 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: 8 payers, 17 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 hmoppo facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 2 | Aetna medicare hmo for chp facility · fee schedule · outpatient | $128.00 | $141.92 | $57.44 – $242.00 |
| 3 | Aetna medicare hmo for non-chp facility · fee schedule · outpatient | $128.00 | $141.92 | $57.44 – $242.00 |
| 4 | Aetna ppo facility · fee schedule · outpatient | $128.00 | $141.92 | $57.44 – $242.00 |
| 5 | Aetna hmoposppo facility · fee schedule · outpatient | $160.00 | $177.40 | $71.80 – $302.50 |
| 6 | Aetna qualified health plan facility · fee schedule · outpatient | $160.00 | $177.40 | $71.80 – $302.50 |
| 7 | UnitedHealthcare hmo facility · fee schedule · outpatient | $167.78 | $186.02 | $75.28 – $317.20 |
| 8 | UnitedHealthcare ppo facility · fee schedule · outpatient | $167.78 | $186.02 | $75.28 – $317.20 |
| 9 | Cigna hmo facility · fee schedule · outpatient | $177.72 | $197.05 | $79.75 – $336.01 |
| 10 | Blue Cross Blue Shield hmopos facility · fee schedule · outpatient | $178.56 | $197.98 | $80.12 – $337.59 |
| 11 | Blue Cross Blue Shield epoppo facility · fee schedule · outpatient | $182.08 | $201.88 | $81.70 – $344.24 |
| 12 | Kaiser commercial facility · fee schedule · outpatient | $192.00 | $212.88 | $86.16 – $363.00 |
| 13 | Cigna ppo facility · fee schedule · outpatient | $198.46 | $220.05 | $89.06 – $375.22 |
| 14 | Blue Cross Blue Shield exchange hmo facility · fee schedule · outpatient | $203.48 | $225.61 | $91.31 – $384.71 |
| 15 | Humana choice care ppo facility · fee schedule · outpatient | $272.00 | $301.58 | $122.06 – $514.25 |
| 16 | MultiPlan ppo facility · fee schedule · outpatient | $272.00 | $301.58 | $122.06 – $514.25 |
| 17 | Phcs commercial facility · fee schedule · outpatient | $272.00 | $301.58 | $122.06 – $514.25 |
Last updated: Sep 11, 2026
See Gadoterate meglumine contrast, 15 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.