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 7.5 MMOL/15ML IV SOLN (WRAPPER)
Anna, IL
See all hospitals reporting HCPCS A9575 →Price type
Deaconess Illinois Union County Hospital Inc’s median price of $222 is 46692% 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: 10 payers, 29 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 | MultiPlan commercial professional · fee schedule · both | $25.34 | $25.34 | $25.34 – $25.34 |
| 2 | Phcs commercial professional · fee schedule · both | $25.34 | $25.34 | $25.34 – $25.34 |
| 3 | Molina managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $95.80 | $95.80 | $95.80 – $95.80 |
| 4 | WellCare mmai facility · percent of total billed charges · outpatientfrom % of charges | $114.96 | $114.96 | $114.96 – $114.96 |
| 5 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $138.91 | $138.91 | $138.91 – $138.91 |
| 6 | Bcbs Il medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $138.91 | $138.91 | $138.91 – $138.91 |
| 7 | Humana mmai facility · percent of total billed charges · outpatientfrom % of charges | $138.91 | $138.91 | $138.91 – $138.91 |
| 8 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $138.91 | $138.91 | $138.91 – $138.91 |
| 9 | UnitedHealthcare va ccn facility · percent of total billed charges · outpatientfrom % of charges | $138.91 | $138.91 | $138.91 – $138.91 |
| 10 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $140.30 | $140.30 | $140.30 – $140.30 |
| 11 | Molina mmai facility · percent of total billed charges · outpatientfrom % of charges | $140.30 | $140.30 | $140.30 – $140.30 |
| 12 | Aetna Better Health medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $141.69 | $141.69 | $141.69 – $141.69 |
| 13 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $143.08 | $143.08 | $143.08 – $143.08 |
| 14 | Bcbs Il blue choice facility · percent of total billed charges · outpatientfrom % of charges | $195.91 | $195.91 | $195.91 – $195.91 |
| 15 | Bcbs Il hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $206.93 | $206.93 | $206.93 – $206.93 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $314.70 | $314.70 | $314.70 – $314.70 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $314.70 | $314.70 | $314.70 – $314.70 |
| 18 | Bcbs Il blue choice facility · percent of total billed charges · inpatientfrom % of charges | $317.58 | $317.58 | $317.58 – $317.58 |
| 19 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $334.82 | $334.82 | $334.82 – $334.82 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $334.82 | $334.82 | $334.82 – $334.82 |
| 21 | Bcbs Il hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $335.30 | $335.30 | $335.30 – $335.30 |
| 22 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $344.88 | $344.88 | $344.88 – $344.88 |
| 23 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $344.88 | $344.88 | $344.88 – $344.88 |
| 24 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $383.20 | $383.20 | $383.20 – $383.20 |
| 25 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $383.20 | $383.20 | $383.20 – $383.20 |
Last updated: Feb 3, 2026
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