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 10ML VIAL [2001-01]
Brownwood, TX
See all hospitals reporting HCPCS A9575 →Price type
Hendrick Medical Center’s median price of $184 is 38580% above the median hospital's median price ($0), higher than 92% 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: 4 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 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $109.50 | $118.35 | $89.38 – $156.18 |
| 2 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $109.50 | $118.35 | $89.38 – $156.18 |
| 3 | Bcbs Tx marketplace facility · percent of total billed charges · inpatientfrom % of charges | $176.29 | $190.55 | $143.90 – $251.45 |
| 4 | Bcbs Tx marketplace facility · percent of total billed charges · outpatientfrom % of charges | $176.29 | $190.55 | $143.90 – $251.45 |
| 5 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $183.73 | $198.59 | $149.98 – $262.07 |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $183.73 | $198.59 | $149.98 – $262.07 |
| 7 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $198.63 | $214.70 | $162.14 – $283.32 |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $198.63 | $214.70 | $162.14 – $283.32 |
| 9 | Bcbs Tx traditional facility · percent of total billed charges · inpatientfrom % of charges | $208.56 | $225.43 | $170.25 – $297.49 |
| 10 | Bcbs Tx traditional facility · percent of total billed charges · outpatientfrom % of charges | $208.56 | $225.43 | $170.25 – $297.49 |
| 11 | Aetna hmo/ppo/pos facility · percent of total billed charges · inpatientfrom % of charges | $211.05 | $228.12 | $172.28 – $301.03 |
| 12 | Aetna hmo/ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $211.05 | $228.12 | $172.28 – $301.03 |
| 13 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $223.46 | $241.54 | $182.41 – $318.74 |
| 14 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $223.46 | $241.54 | $182.41 – $318.74 |
Last updated: Oct 1, 2026
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