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 INTRAVENOUS SYRINGE
DYER, IN
See all hospitals reporting HCPCS A9575 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $15 is 3016% above the median hospital's median price ($0), higher than 68% 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: 4 payers, 13 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 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $3.67 | $5.27 | $1.85 – $10.29 |
| 2 | Cigna cigna behavioral health-nir-st marg-dyer percent of total billed charges · bothfrom % of charges | $6.27 | $9.00 | $3.15 – $17.57 |
| 3 | Bcbs Il st anthony health-nir-stmar&fhm&stant mc percent of total billed charges · bothfrom % of charges | $12.55 | $12.51 | $2.25 – $36.10 |
| 4 | UnitedHealthcare bind/surest insurance [322006] percent of total billed charges · bothfrom % of charges | $14.80 | $14.80 | $14.80 – $14.80 |
| 5 | UnitedHealthcare united healthcare core [321009] percent of total billed charges · bothfrom % of charges | $14.81 | $14.81 | $14.80 – $14.81 |
| 6 | UnitedHealthcare united healthcare navigate [321010] percent of total billed charges · bothfrom % of charges | $14.81 | $14.81 | $14.81 – $14.81 |
| 7 | Bcbs Il st anthony healthnetwork hmo [313054] percent of total billed charges · bothfrom % of charges | $12.88 | $20.88 | $6.45 – $36.10 |
| 8 | Bcbs Il bc/bs of illinois hmo-nid-hammond-dyer percent of total billed charges · bothfrom % of charges | $19.07 | $23.19 | $3.38 – $54.15 |
| 9 | Bcbs Il hmo illinois [312028] percent of total billed charges · bothfrom % of charges | $19.31 | $27.71 | $9.68 – $54.15 |
| 10 | UnitedHealthcare uhc nid-hammond-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $28.22 | $28.20 | $14.80 – $41.54 |
| 11 | Bcbs Il blue cross blue shield il ppo [312014] percent of total billed charges · bothfrom % of charges | $20.34 | $29.19 | $10.19 – $57.04 |
| 12 | UnitedHealthcare united healthcare choice [315037] percent of total billed charges · bothfrom % of charges | $14.81 | $30.01 | $7.27 – $71.63 |
| 13 | Bcbs Il hammond clinic attn hmo [313023] percent of total billed charges · bothfrom % of charges | $19.31 | $31.32 | $9.68 – $54.15 |
Last updated: Jan 1, 2026
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