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) IV SOLN
Roanoke Rapids, NC
See all hospitals reporting HCPCS A9575 →Price type
Halifax Regional Medical Center, Inc.’s median price of $229 is 48020% above the median hospital's median price ($0), higher than 94% 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: 6 payers, 33 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 | Blue Cross Blue Shield bcbs medicaid - healthy blue [378] percent of total billed charges · bothfrom % of charges | $97.12 | $97.12 | $97.12 – $97.12 |
| 2 | Blue Cross Blue Shield nchc bcbs medicaid - healthy blue [406] percent of total billed charges · bothfrom % of charges | $97.12 | $97.12 | $97.12 – $97.12 |
| 3 | WellCare wellcare [380] percent of total billed charges · bothfrom % of charges | $98.57 | $98.57 | $98.57 – $98.57 |
| 4 | Blue Cross Blue Shield bcbs blue options hra/hsa [1023] percent of total billed charges · bothfrom % of charges | $186.83 | $186.83 | $186.83 – $186.83 |
| 5 | Medcost medcost ultra [1467] percent of total billed charges · bothfrom % of charges | $213.73 | $213.73 | $213.73 – $213.73 |
| 6 | Cigna cigna - edgecombe county [1618] percent of total billed charges · bothfrom % of charges | $223.76 | $223.76 | $223.76 – $223.76 |
| 7 | Cigna cigna city greenville/gville utilities [1313] percent of total billed charges · bothfrom % of charges | $223.76 | $223.76 | $223.76 – $223.76 |
| 8 | Cigna cigna healthcare hmo [1034] percent of total billed charges · bothfrom % of charges | $223.76 | $223.76 | $223.76 – $223.76 |
| 9 | Cigna cigna nucor corp [1036] percent of total billed charges · bothfrom % of charges | $223.76 | $223.76 | $223.76 – $223.76 |
| 10 | Cigna cigna ppo - open access [1035] percent of total billed charges · bothfrom % of charges | $223.76 | $223.76 | $223.76 – $223.76 |
| 11 | Cigna cigna starbridge [1285] percent of total billed charges · bothfrom % of charges | $223.76 | $223.76 | $223.76 – $223.76 |
| 12 | Cigna cigna starbridge beechstreet [1286] percent of total billed charges · bothfrom % of charges | $223.76 | $223.76 | $223.76 – $223.76 |
| 13 | Cigna vmc hillco cigna [1621] percent of total billed charges · bothfrom % of charges | $223.76 | $223.76 | $223.76 – $223.76 |
| 14 | Aetna aetna nc preferred [403] percent of total billed charges · bothfrom % of charges | $228.17 | $228.17 | $228.17 – $228.17 |
| 15 | UnitedHealthcare united hc behavioral health/optum [1532] percent of total billed charges · bothfrom % of charges | $228.57 | $228.57 | $228.57 – $228.57 |
| 16 | UnitedHealthcare united hc golden rule [1448] percent of total billed charges · bothfrom % of charges | $228.57 | $228.57 | $228.57 – $228.57 |
| 17 | UnitedHealthcare united hc heritage product [1446] percent of total billed charges · bothfrom % of charges | $228.57 | $228.57 | $228.57 – $228.57 |
| 18 | UnitedHealthcare united hc hmo [1138] percent of total billed charges · bothfrom % of charges | $228.57 | $228.57 | $228.57 – $228.57 |
| 19 | UnitedHealthcare united hc indemnity [1139] percent of total billed charges · bothfrom % of charges | $228.57 | $228.57 | $228.57 – $228.57 |
| 20 | UnitedHealthcare united hc ppo [1140] percent of total billed charges · bothfrom % of charges | $228.57 | $228.57 | $228.57 – $228.57 |
| 21 | Medcost medcost - city of havelock [387] percent of total billed charges · bothfrom % of charges | $237.79 | $237.79 | $237.79 – $237.79 |
| 22 | Medcost medcost - ecaa [389] percent of total billed charges · bothfrom % of charges | $237.79 | $237.79 | $237.79 – $237.79 |
| 23 | Medcost medcost - ecu health [1247] percent of total billed charges · bothfrom % of charges | $237.79 | $237.79 | $237.79 – $237.79 |
| 24 | Medcost medcost -continuum of craven [1294] percent of total billed charges · bothfrom % of charges | $237.79 | $237.79 | $237.79 – $237.79 |
| 25 | Medcost medcost -eastern dermatology [1464] percent of total billed charges · bothfrom % of charges | $237.79 | $237.79 | $237.79 – $237.79 |
Last updated: Apr 1, 2026
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