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
DOTAREM 5ML 228614
Lowell, MA
See all hospitals reporting HCPCS A9575 →Price type
Lowell General Hospital’s median price of $155 is 32468% above the median hospital's median price ($0), higher than 90% 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: 8 payers, 9 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 hb xr aetna hmo ppo lgh fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 2 | Amerihealth Caritas hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $115.50 | $115.50 | $115.50 – $115.50 |
| 3 | First Health hb xr non-contracted 35% of billed charges lgh percent of total billed charges · bothfrom % of charges | $115.50 | $115.50 | $115.50 – $115.50 |
| 4 | Cigna hb xr cigna lgh percent of total billed charges · bothfrom % of charges | $165.00 | $165.00 | $165.00 – $165.00 |
| 5 | MultiPlan hb xr claritev lgh percent of total billed charges · bothfrom % of charges | $274.73 | $274.73 | $274.73 – $274.73 |
| 6 | Medicaid hb xr medicaid limited cmsp 100% percent of total billed charges · bothfrom % of charges | $330.00 | $330.00 | $330.00 – $330.00 |
| 7 | Medicare xr hb medicare lgh other · both | $330.00 | $330.00 | $330.00 – $330.00 |
| 8 | UnitedHealthcare hb xr hphc self insured referral hmo pos ppo lgh other · both | $330.00 | $330.00 | $330.00 – $330.00 |
| 9 | UnitedHealthcare hb xr uhc lgh other · both | $330.00 | $330.00 | $330.00 – $330.00 |
Last updated: Apr 1, 2026
See Gadoterate meglumine contrast, 15 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.