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 10 MMOL/20ML IV SOLN
Princeton, IN
See all hospitals reporting HCPCS A9575 →Price type
Deaconess Health System Gibson General Hospital’s median price of $228 is 48001% above the median hospital's median price ($0), higher than 94% 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, 18 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 | Anthem commercial facility · fee schedule · outpatient | $0.30 | $0.30 | $0.30 – $0.30 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $93.97 | $93.97 | $67.20 – $120.73 |
| 3 | Ambetter commercial facility · percent of total billed charges · outpatientfrom % of charges | $120.28 | $120.28 | $86.02 – $154.53 |
| 4 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $120.28 | $120.28 | $86.02 – $154.53 |
| 5 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $120.28 | $120.28 | $86.02 – $154.53 |
| 6 | Bcbs Il medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $120.28 | $120.28 | $86.02 – $154.53 |
| 7 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $120.28 | $120.28 | $86.02 – $154.53 |
| 8 | WellCare dual medicare/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $120.28 | $120.28 | $86.02 – $154.53 |
| 9 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $120.28 | $120.28 | $86.02 – $154.53 |
| 10 | Caresource commercial facility · percent of total billed charges · outpatientfrom % of charges | $151.86 | $164.44 | $86.02 – $268.01 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $263.10 | $263.10 | $188.16 – $338.03 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $263.10 | $263.10 | $188.16 – $338.03 |
| 13 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $293.54 | $293.54 | $209.93 – $377.14 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $293.54 | $293.54 | $209.93 – $377.14 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $330.75 | $330.75 | $236.54 – $424.95 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $330.75 | $330.75 | $236.54 – $424.95 |
| 17 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $338.27 | $338.27 | $241.92 – $434.61 |
| 18 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $338.27 | $338.27 | $241.92 – $434.61 |
Last updated: Feb 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.