Gadoterate meglumine contrast, 15 mL at Johnson Memorial 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
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

Stafford Springs, CT

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How this price compares nationally

Johnson Memorial Hospital’s median price of $168 is 35342% above the median hospital's median price ($0), higher than 91% 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 Johnson Memorial Hospital

Negotiated rates from the hospital’s own file: 15 payers, 19 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 facility · fee schedule · both	$22.60	$22.60	$22.60 – $22.60
2	Aetna aetna whole health facility · percent of total billed charges · bothfrom % of charges	$62.28	$62.28	$62.28 – $62.28
3	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$77.84	$77.84	$77.84 – $77.84
4	Cigna evernorth facility · percent of total billed charges · bothfrom % of charges	$77.84	$77.84	$77.84 – $77.84
5	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$79.87	$79.87	$79.87 – $79.87
6	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$82.83	$82.83	$82.83 – $82.83
7	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$82.83	$82.83	$82.83 – $82.83
8	Optum united healthcare behavioral health facility · percent of total billed charges · bothfrom % of charges	$99.80	$99.80	$99.80 – $99.80
9	Anthem anthem individual pathway hmo ppo facility · fee schedule · both	$122.51	$122.51	$122.51 – $122.51
10	Anthem anthem bluecare prime facility · fee schedule · both	$151.52	$151.52	$151.52 – $151.52
11	Anthem anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35
12	Blue Cross Blue Shield anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35
13	Carefirst anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35
14	Excellus anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35
15	Highmark anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35
16	Kaiser anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35
17	Premera anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35
18	Regence anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35
19	Wellmark anthem facility · fee schedule · both	$168.35	$168.35	$168.35 – $168.35

Last updated: Mar 31, 2026

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