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 (376.9 MG/ML) INTRAVENOUS SOLUTION
La Mesa, CA
See all hospitals reporting HCPCS A9575 →Price type
Grossmont Hospital Corporation’s median price of $12 is 2468% above the median hospital's median price ($0), higher than 67% 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, 28 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare - ppo fee schedule · outpatient | $1.30 | $1.30 | $1.30 – $1.30 |
| 2 | Cigna cigna - hmo percent of total billed charges · inpatientfrom % of charges | $3.00 | $3.00 | $3.00 – $3.00 |
| 3 | Blue Cross Blue Shield blue shield - promise percent of total billed charges · outpatientfrom % of charges | $3.50 | $3.50 | $3.50 – $3.50 |
| 4 | Aetna aetna - ppo percent of total billed charges · inpatientfrom % of charges | $5.60 | $5.60 | $5.60 – $5.60 |
| 5 | Blue Cross Blue Shield blue cross - standard percent of total billed charges · inpatientfrom % of charges | $6.80 | $6.80 | $6.80 – $6.80 |
| 6 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 7 | Blue Cross Blue Shield blue shield - hmo percent of total billed charges · outpatientfrom % of charges | $9.82 | $9.82 | $9.82 – $9.82 |
| 8 | Kaiser kaiser - hmo percent of total billed charges · outpatientfrom % of charges | $10.00 | $10.00 | $10.00 – $10.00 |
| 9 | Blue Cross Blue Shield blue cross - standard percent of total billed charges · outpatientfrom % of charges | $11.30 | $11.30 | $11.30 – $11.30 |
| 10 | Blue Cross Blue Shield blue shield - ppo percent of total billed charges · inpatientfrom % of charges | $11.30 | $11.30 | $11.30 – $11.30 |
| 11 | Blue Cross Blue Shield blue shield - ppo percent of total billed charges · outpatientfrom % of charges | $11.30 | $11.30 | $11.30 – $11.30 |
| 12 | Aetna aetna whole health percent of total billed charges · inpatientfrom % of charges | $12.20 | $12.20 | $12.20 – $12.20 |
| 13 | Blue Cross Blue Shield blue cross - hmo percent of total billed charges · outpatientfrom % of charges | $12.20 | $12.20 | $12.20 – $12.20 |
| 14 | UnitedHealthcare united healthcare - hmo percent of total billed charges · inpatientfrom % of charges | $12.20 | $12.20 | $12.20 – $12.20 |
| 15 | Aetna aetna - ppo percent of total billed charges · outpatientfrom % of charges | $12.70 | $12.70 | $12.70 – $12.70 |
| 16 | Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges | $13.50 | $13.50 | $13.50 – $13.50 |
| 17 | Aetna aetna - hmo/pos percent of total billed charges · inpatientfrom % of charges | $13.80 | $13.80 | $13.80 – $13.80 |
| 18 | Blue Cross Blue Shield blue cross - ppo percent of total billed charges · inpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 19 | Humana choice care network percent of total billed charges · outpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 20 | UnitedHealthcare united healthcare - medicare percent of total billed charges · inpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 21 | Molina molina - exchange percent of total billed charges · inpatientfrom % of charges | $15.00 | $15.00 | $15.00 – $15.00 |
| 22 | Aetna first health - direct percent of total billed charges · outpatientfrom % of charges | $15.40 | $15.40 | $15.40 – $15.40 |
| 23 | Blue Cross Blue Shield blue cross - hmo percent of total billed charges · inpatientfrom % of charges | $16.00 | $16.00 | $16.00 – $16.00 |
| 24 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $16.00 | $16.00 | $16.00 – $16.00 |
| 25 | Cigna cigna - hmo percent of total billed charges · outpatientfrom % of charges | $18.00 | $18.00 | $18.00 – $18.00 |
Last updated: Apr 1, 2026
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