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 [124929]
Honokaa, HI
See all hospitals reporting HCPCS A9575 →Price type
Honokaa Hospital and Skilled Nursing Facility’s median price of $135 is 28220% 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: 4 payers, 8 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 medicaid facility · fee schedule · outpatient | $0.09 | $0.09 | $0.09 – $0.09 |
| 2 | Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges | $90.27 | $93.84 | $70.89 – $120.36 |
| 3 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $134.52 | $139.84 | $105.64 – $179.36 |
| 4 | Kaiser medicare facility · percent of total billed charges · outpatientfrom % of charges | $134.52 | $139.84 | $105.64 – $179.36 |
| 5 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $134.52 | $139.84 | $105.64 – $179.36 |
| 6 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $148.68 | $154.56 | $116.76 – $198.24 |
| 7 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $159.30 | $165.60 | $125.10 – $212.40 |
| 8 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $159.30 | $165.60 | $125.10 – $212.40 |
Last updated: Jun 15, 2026
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