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
Westwood, NJ
See all hospitals reporting HCPCS A9575 →Price type
Hackensack Meridian at Pascack Valley’s median price of $88 is 18424% above the median hospital's median price ($0), higher than 84% 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, 19 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 uhccp [375500] facility · percent of total billed charges · bothfrom % of charges | $23.74 | $22.76 | $11.71 – $32.06 |
| 2 | Clover clover health medicare replacement [379500] facility · percent of total billed charges · bothfrom % of charges | $26.49 | $25.40 | $13.07 – $35.78 |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $32.37 | $31.05 | $15.98 – $43.73 |
| 4 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $60.33 | $57.86 | $29.77 – $81.49 |
| 5 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $60.33 | $57.86 | $29.77 – $81.49 |
| 6 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $60.33 | $57.86 | $29.77 – $81.49 |
| 7 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $65.98 | $63.28 | $32.56 – $89.12 |
| 8 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $65.98 | $63.28 | $32.56 – $89.12 |
| 9 | Aetna aetna signature [101528] facility · percent of total billed charges · bothfrom % of charges | $84.46 | $81.01 | $41.68 – $114.08 |
| 10 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $84.46 | $81.01 | $41.68 – $114.08 |
| 11 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $125.08 | $119.96 | $61.73 – $168.94 |
| 12 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $125.08 | $119.96 | $61.73 – $168.94 |
| 13 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $125.08 | $119.96 | $61.73 – $168.94 |
| 14 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $125.08 | $119.96 | $61.73 – $168.94 |
| 15 | Anthem anthem blue cross blue shield [352500] facility · percent of total billed charges · bothfrom % of charges | $137.51 | $131.89 | $67.86 – $185.73 |
| 16 | Blue Cross Blue Shield empire bcbs hmo pos epo [115558] facility · percent of total billed charges · bothfrom % of charges | $137.51 | $131.89 | $67.86 – $185.73 |
| 17 | Blue Cross Blue Shield empire bcbs ppo [115559] facility · percent of total billed charges · bothfrom % of charges | $137.51 | $131.89 | $67.86 – $185.73 |
| 18 | UnitedHealthcare the empire plan [206029] facility · percent of total billed charges · bothfrom % of charges | $137.51 | $131.89 | $67.86 – $185.73 |
| 19 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $142.74 | $136.90 | $70.44 – $192.79 |
Last updated: Feb 12, 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.