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
Newburgh, IN
See all hospitals reporting HCPCS A9575 →Price type
Deaconess Hospital, Inc’s median price of $137 is 28797% above the median hospital's median price ($0), higher than 89% 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: 11 payers, 14 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 | UnitedHealthcare commercial facility · fee schedule · outpatient | $0.20 | $0.20 | $0.20 – $0.20 |
| 2 | Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $60.75 | $68.54 | $50.00 – $94.88 |
| 3 | Humana managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $60.75 | $68.54 | $50.00 – $94.88 |
| 4 | Molina managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $60.75 | $68.54 | $50.00 – $94.88 |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $60.75 | $68.54 | $50.00 – $94.88 |
| 6 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $60.75 | $68.54 | $50.00 – $94.88 |
| 7 | Anthem hmo facility · percent of total billed charges · outpatientfrom % of charges | $71.86 | $81.07 | $59.14 – $112.22 |
| 8 | Ambetter commercial facility · percent of total billed charges · outpatientfrom % of charges | $145.80 | $164.50 | $120.00 – $227.70 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $146.04 | $164.77 | $120.20 – $228.08 |
| 10 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $155.52 | $175.47 | $128.00 – $242.88 |
| 11 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $157.95 | $178.21 | $130.00 – $246.68 |
| 12 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $170.10 | $191.92 | $140.00 – $265.65 |
| 13 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $179.82 | $202.88 | $148.00 – $280.83 |
| 14 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $179.82 | $202.88 | $148.00 – $280.83 |
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.