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
DOTAREM 10 ML VIAL [2000-01]
Abilene, TX
See all hospitals reporting HCPCS A9575 →Price type
Hendrick Medical Center’s median price of $134 is 28125% above the median hospital's median price ($0), higher than 89% 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: 5 payers, 15 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Tx marketplace facility · percent of total billed charges · inpatientfrom % of charges | $52.94 | $56.45 | $40.90 – $75.51 |
| 2 | Bcbs Tx marketplace facility · percent of total billed charges · outpatientfrom % of charges | $55.88 | $59.59 | $43.18 – $79.71 |
| 3 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $58.83 | $62.73 | $45.45 – $83.90 |
| 4 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $61.77 | $65.86 | $47.72 – $88.10 |
| 5 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $61.77 | $65.86 | $47.72 – $88.10 |
| 6 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $64.71 | $69.00 | $49.99 – $92.29 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $116.48 | $124.20 | $89.99 – $166.13 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $117.95 | $125.77 | $91.12 – $168.23 |
| 9 | Bcbs Tx traditional facility · percent of total billed charges · inpatientfrom % of charges | $123.53 | $131.72 | $95.44 – $176.20 |
| 10 | Bcbs Tx traditional facility · percent of total billed charges · outpatientfrom % of charges | $123.53 | $131.72 | $95.44 – $176.20 |
| 11 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $147.07 | $156.82 | $113.62 – $209.76 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $185.30 | $197.59 | $143.16 – $264.30 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $185.30 | $197.59 | $143.16 – $264.30 |
| 14 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $261.78 | $279.13 | $202.24 – $373.37 |
| 15 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $261.78 | $279.13 | $202.24 – $373.37 |
Last updated: Oct 1, 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.