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
West Bloomfield, MI
See all hospitals reporting HCPCS A9575 →Price type
Henry Ford Health System’s median price of $0 is 43% below the median hospital's median price ($0), higher than 39% 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: 9 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 | Aetna commercial facility · other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Molina medicaid hmo facility · fee schedule · outpatient | $0.06 | $0.06 | $0.06 – $0.06 |
| 3 | Humana tricare facility · fee schedule · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 4 | WellCare medicare advantage facility · fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 5 | Blue Cross Blue Shield bcbsm commercial facility · fee schedule · outpatient | $0.21 | $0.21 | $0.21 – $0.21 |
| 6 | Blue Cross Blue Shield bcn commercial facility · fee schedule · outpatient | $0.21 | $0.21 | $0.21 – $0.21 |
| 7 | Blue Cross Blue Shield bcbsm gm connected care facility · fee schedule · outpatient | $0.27 | $0.21 | $0.15 – $0.27 |
| 8 | Molina dual mi coordinated health facility · percent of total billed charges · outpatientfrom % of charges | $31.20 | $41.63 | $0.11 – $96.09 |
| 9 | Amerihealth Caritas dual products facility · percent of total billed charges · outpatientfrom % of charges | $41.60 | $55.50 | $0.14 – $128.12 |
| 10 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $54.08 | $72.15 | $0.18 – $166.56 |
| 11 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $58.43 | $77.95 | $0.20 – $179.94 |
| 12 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $69.68 | $92.96 | $0.23 – $214.60 |
| 13 | UnitedHealthcare baseline benefit plan facility · percent of total billed charges · outpatientfrom % of charges | $74.05 | $98.79 | $0.25 – $228.05 |
| 14 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $74.05 | $98.79 | $0.25 – $228.05 |
Last updated: Jun 28, 2026
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