Gadoterate meglumine contrast, 15 mL at Holy Cross Germantown Hospital

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GADOTERATE MEGLUMINE 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION

Germantown, MD

See all hospitals reporting HCPCS A9575 →

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How this price compares nationally

Holy Cross Germantown Hospital’s median price of $104 is 21852% above the median hospital's median price ($0), higher than 86% of the 1,486 hospitals reporting HCPCS A9575. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9575 at Holy Cross Germantown Hospital

Negotiated rates from the hospital’s own file: 15 payers, 26 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 cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges	$93.95	$123.29	$68.39 – $238.10
2	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$95.02	$124.69	$69.16 – $240.80
3	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$96.08	$126.08	$69.94 – $243.49
4	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$96.08	$126.08	$69.94 – $243.49
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$97.14	$127.48	$70.71 – $246.19
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$97.14	$127.48	$70.71 – $246.19
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$98.21	$128.88	$71.49 – $248.89
8	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$98.21	$128.88	$71.49 – $248.89
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$99.27	$130.27	$72.26 – $251.58
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$100.34	$131.67	$73.04 – $254.28
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$104.27	$136.84	$75.90 – $264.26
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$105.34	$138.23	$76.68 – $266.95
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$105.34	$138.23	$76.68 – $266.95
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$105.34	$138.23	$76.68 – $266.95

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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