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 5 MMOL/10ML IV SOLN
Wyoming, MN
See all hospitals reporting HCPCS A9575 →Price type
Fairview Health Services’s median price of $0 is 54% below the median hospital's median price ($0), higher than 33% 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: 7 payers, 36 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 | Ucare pmap fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 2 | Bcbs Mn aware federal fee schedule · both | $0.13 | $0.13 | $0.13 – $0.13 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $0.13 | $0.13 | $0.13 – $0.13 |
| 4 | Bcbs Mn pmap fee schedule · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 5 | Medica managed medicaid/accessability fee schedule · both | $0.13 | $0.13 | $0.13 – $0.13 |
| 6 | Medica medicare advantage non-snp fee schedule · both | $0.13 | $0.13 | $0.13 – $0.13 |
| 7 | Medica msho/medicare advantage snp fee schedule · both | $0.13 | $0.13 | $0.13 – $0.13 |
| 8 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $0.14 | $0.13 | $0.07 – $0.14 |
| 9 | UnitedHealthcare core percent of total billed charges · inpatientfrom % of charges | $0.14 | $0.13 | $0.07 – $0.14 |
| 10 | Bcbs Mn pmap fee schedule · both | $0.14 | $0.14 | $0.14 – $0.14 |
| 11 | Medica managed medicaid/accessability fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 12 | Ucare individual and family percent of total billed charges · outpatientfrom % of charges | $0.17 | $0.16 | $0.09 – $0.17 |
| 13 | Ucare individual and family with m health fairview percent of total billed charges · outpatientfrom % of charges | $0.17 | $0.16 | $0.09 – $0.17 |
| 14 | UnitedHealthcare core percent of total billed charges · outpatientfrom % of charges | $0.17 | $0.16 | $0.09 – $0.17 |
| 15 | Medica msho/medicare advantage snp fee schedule · outpatient | $0.17 | $0.17 | $0.17 – $0.17 |
| 16 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $0.17 | $0.17 | $0.09 – $0.19 |
| 17 | UnitedHealthcare commercial fee schedule · both | $0.17 | $0.17 | $0.17 – $0.17 |
| 18 | UnitedHealthcare core fee schedule · both | $0.17 | $0.17 | $0.17 – $0.17 |
| 19 | Sanford Health Plan commercial percent of total billed charges · outpatientfrom % of charges | $0.20 | $0.19 | $0.10 – $0.20 |
| 20 | Sanford Health Plan commercial percent of total billed charges · inpatientfrom % of charges | $0.20 | $0.19 | $0.10 – $0.20 |
| 21 | Medica bold fee schedule · both | $0.24 | $0.24 | $0.24 – $0.24 |
| 22 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $0.28 | $0.26 | $0.14 – $0.28 |
| 23 | Medica vantage self insured fee schedule · both | $0.26 | $0.26 | $0.26 – $0.26 |
| 24 | First Health commercial percent of total billed charges · inpatientfrom % of charges | $0.28 | $0.27 | $0.14 – $0.28 |
| 25 | Medica bold fee schedule · outpatient | $0.27 | $0.27 | $0.27 – $0.27 |
Last updated: Feb 5, 2026
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