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
St. George, UT
See all hospitals reporting HCPCS A9575 →Price type
IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital’s median price of $209 is 43929% above the median hospital's median price ($0), higher than 94% 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: 6 payers, 41 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 medicare adv hmo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 2 | Aetna medicare adv ppo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 3 | Humana medicare choice ppo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 4 | Molina medicaid professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 5 | Molina medicare advantage professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 6 | Molina medicare choice care hmo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 7 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 8 | Regence medadvantage ppo professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 10 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $207.90 | $359.92 | $46.02 – $1,856 |
| 11 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $207.90 | $359.92 | $46.02 – $1,856 |
| 12 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $212.94 | $368.65 | $47.13 – $1,901 |
| 13 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $212.94 | $368.65 | $47.13 – $1,901 |
| 14 | Aetna standard facility · percent of total billed charges · inpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 15 | Aetna standard facility · percent of total billed charges · outpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 16 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 17 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 18 | UnitedHealthcare charter facility · percent of total billed charges · inpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 19 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 20 | UnitedHealthcare non-options ppo facility · percent of total billed charges · inpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 21 | UnitedHealthcare non-options ppo facility · percent of total billed charges · outpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 22 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 23 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $214.70 | $371.70 | $47.52 – $1,917 |
| 24 | Aetna connected facility · percent of total billed charges · outpatientfrom % of charges | $215.46 | $373.01 | $47.69 – $1,924 |
| 25 | Aetna extended facility · percent of total billed charges · outpatientfrom % of charges | $215.46 | $373.01 | $47.69 – $1,924 |
Last updated: Aug 5, 2026
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