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
Leominster, MA
See all hospitals reporting HCPCS A9575 →Price type
HealthAlliance - Clinton Hospital’s median price of $239 is 50319% above the median hospital's median price ($0), higher than 95% 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: 7 payers, 9 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 | Cigna all cigna ha [46] plans fee schedule · both | $38.43 | $38.43 | $38.43 – $38.43 |
| 2 | UnitedHealthcare all uhc rhody partners [271] plans percent of total billed charges · bothfrom % of charges | $124.14 | $124.14 | $124.14 – $124.14 |
| 3 | Medicaid all medicaid of maine [283] plans percent of total billed charges · bothfrom % of charges | $190.42 | $190.42 | $190.42 – $190.42 |
| 4 | UnitedHealthcare all uhc ha [125] plans percent of total billed charges · bothfrom % of charges | $196.64 | $196.64 | $196.64 – $196.64 |
| 5 | UnitedHealthcare all uhc surest ha [323] plans percent of total billed charges · bothfrom % of charges | $196.64 | $196.64 | $196.64 – $196.64 |
| 6 | Aetna all aetna ha [147] plans percent of total billed charges · bothfrom % of charges | $239.49 | $239.49 | $239.49 – $239.49 |
| 7 | First Health all coventry (first health) [83] plans percent of total billed charges · bothfrom % of charges | $274.64 | $274.64 | $274.64 – $274.64 |
| 8 | MultiPlan all multiplan [81] plans percent of total billed charges · bothfrom % of charges | $274.64 | $274.64 | $274.64 – $274.64 |
| 9 | Optum all optum behavioral health (ubh) ha [248] plans percent of total billed charges · bothfrom % of charges | $366.19 | $366.19 | $366.19 – $366.19 |
Last updated: Mar 26, 2026
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