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
Hackettstown, NJ
See all hospitals reporting HCPCS A9575 →Price type
Hackettstown Medical Center’s median price of $88 is 18353% 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: 18 payers, 34 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 | Anthem hmc medicaid percent of total billed charges · bothfrom % of charges | $11.13 | $18.60 | $4.04 – $48.11 |
| 2 | Medicaid hmc medicaid percent of total billed charges · bothfrom % of charges | $11.13 | $18.60 | $4.04 – $48.11 |
| 3 | Aetna Better Health hmc aetna better health percent of total billed charges · bothfrom % of charges | $13.35 | $22.32 | $4.85 – $57.74 |
| 4 | UnitedHealthcare oxford non-tertiary percent of total billed charges · bothfrom % of charges | $51.42 | $85.98 | $18.68 – $222.38 |
| 5 | Humana hmc qualcare percent of total billed charges · bothfrom % of charges | $63.41 | $106.02 | $23.03 – $274.23 |
| 6 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $63.41 | $106.02 | $23.03 – $274.23 |
| 7 | Oscar hmc qualcare percent of total billed charges · bothfrom % of charges | $63.41 | $106.02 | $23.03 – $274.23 |
| 8 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $63.41 | $106.02 | $23.03 – $274.23 |
| 9 | First Health first health percent of total billed charges · bothfrom % of charges | $74.94 | $125.30 | $27.22 – $324.09 |
| 10 | MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges | $80.71 | $134.94 | $29.32 – $349.02 |
| 11 | Aetna hmc aetna ahs employee other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 12 | Aetna hmc aetna medicare fee schedule · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 13 | Aetna hmc aetna nnj prime other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 14 | Ambetter hmc ambetter wellcare of nj other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 15 | Anthem hmc horizon braven other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 16 | Blue Cross Blue Shield hmc horizon braven other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 17 | Cigna hmc cigna medicare fee schedule · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 18 | Highmark hmc highmark wholecare / gateway health plan inc other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 19 | Highmark hmc horizon braven other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 20 | Tricare hmc tricare contract other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 21 | Tricare hmc tricare-east (humana military) other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 22 | WellCare hmc wellcare phw other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 23 | WellCare hmc wellcare/fedelis medicare other · outpatient | $390.24 | $390.24 | $390.24 – $390.24 |
| 24 | Amerihealth Caritas hmc amerihealth caritas other · outpatient | $394.14 | $394.14 | $394.14 – $394.14 |
| 25 | Cigna hmc cigna local plus per diem · outpatient | $498.95 | $498.95 | $498.95 – $498.95 |
Last updated: Apr 1, 2026
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