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
Montclair, NJ
See all hospitals reporting HCPCS A9575 →Price type
Hackensack Meridian Mountainside Medical Center’s median price of $78 is 16386% above the median hospital's median price ($0), higher than 82% 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: 8 payers, 14 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 better health [351001] facility · percent of total billed charges · bothfrom % of charges | $20.48 | $20.70 | $10.95 – $30.67 |
| 2 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $54.88 | $55.48 | $29.36 – $82.19 |
| 3 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $54.88 | $55.48 | $29.36 – $82.19 |
| 4 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $54.88 | $55.48 | $29.36 – $82.19 |
| 5 | Medicare rehab medicare [163504] facility · percent of total billed charges · bothfrom % of charges | $54.88 | $55.48 | $29.36 – $82.19 |
| 6 | Aetna aetna liberty [101531] facility · percent of total billed charges · bothfrom % of charges | $62.91 | $63.59 | $33.65 – $94.22 |
| 7 | Aetna aetna ppo [101526] facility · percent of total billed charges · bothfrom % of charges | $88.35 | $89.30 | $47.26 – $132.30 |
| 8 | First Health first health network [137501] facility · percent of total billed charges · bothfrom % of charges | $100.40 | $101.48 | $53.70 – $150.35 |
| 9 | Cigna cigna behavioral health [126013] facility · percent of total billed charges · bothfrom % of charges | $107.09 | $108.24 | $57.28 – $160.37 |
| 10 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $113.78 | $115.01 | $60.86 – $170.39 |
| 11 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $113.78 | $115.01 | $60.86 – $170.39 |
| 12 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $113.78 | $115.01 | $60.86 – $170.39 |
| 13 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $113.78 | $115.01 | $60.86 – $170.39 |
| 14 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $124.36 | $125.70 | $66.52 – $186.23 |
Last updated: Feb 12, 2026
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