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
Silver Spring, MD
See all hospitals reporting HCPCS A9575 →Price type
Holy Cross Hospital-Silver Spring’s median price of $87 is 18292% above the median hospital's median price ($0), higher than 84% 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: 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 | $83.05 | $118.87 | $69.05 – $240.35 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $84.93 | $121.57 | $70.61 – $245.80 |
| 3 | Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges | $84.93 | $121.57 | $70.61 – $245.80 |
| 4 | Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges | $84.93 | $121.57 | $70.61 – $245.80 |
| 5 | Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges | $85.50 | $122.38 | $71.08 – $247.43 |
| 6 | UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges | $85.50 | $122.38 | $71.08 – $247.43 |
| 7 | Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges | $86.43 | $123.72 | $71.87 – $250.15 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $86.81 | $124.26 | $72.18 – $251.24 |
| 9 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $87.37 | $125.07 | $72.65 – $252.87 |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $88.69 | $126.95 | $73.74 – $256.68 |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 12 | Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 13 | Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 14 | Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 16 | Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 17 | Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 18 | Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 19 | Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 20 | Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 21 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 22 | Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $92.17 | $131.94 | $76.64 – $266.76 |
| 23 | Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges | $93.11 | $133.28 | $77.42 – $269.48 |
| 24 | Humana humana facility · percent of total billed charges · bothfrom % of charges | $93.11 | $133.28 | $77.42 – $269.48 |
| 25 | Humana humana military facility · percent of total billed charges · bothfrom % of charges | $93.11 | $133.28 | $77.42 – $269.48 |
Last updated: Mar 31, 2026
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