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 10X10ML PER 0.1ML 67684-200-1
Margaretville, NY
See all hospitals reporting HCPCS A9575 →Price type
Margaretville Memorial Hospital’s median price of $2 is 298% above the median hospital's median price ($0), higher than 62% 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: 9 payers, 22 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 aetna medicare facility · fee schedule · outpatient | $1.71 | $2.44 | $0.23 – $6.13 |
| 2 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $1.71 | $2.44 | $0.23 – $6.13 |
| 3 | Excellus excellus blue cross facility · fee schedule · outpatient | $1.71 | $2.44 | $0.23 – $6.13 |
| 4 | Excellus excellus medicare blue dual facility · fee schedule · outpatient | $1.71 | $2.44 | $0.23 – $6.13 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $1.71 | $2.44 | $0.23 – $6.13 |
| 6 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $1.71 | $2.44 | $0.23 – $6.13 |
| 7 | WellCare wellcare medicare facility · fee schedule · outpatient | $1.71 | $2.44 | $0.23 – $6.13 |
| 8 | Molina affinity by molina mcr facility · fee schedule · outpatient | $1.80 | $2.56 | $0.24 – $6.44 |
| 9 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $2.21 | $3.15 | $0.30 – $7.94 |
| 10 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $2.29 | $3.27 | $0.31 – $8.22 |
| 11 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $2.37 | $3.37 | $0.32 – $8.50 |
| 12 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $2.52 | $3.59 | $0.34 – $9.05 |
| 13 | Aetna aetna employee facility · other · outpatient | $2.52 | $3.59 | $0.34 – $9.05 |
| 14 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $2.68 | $3.82 | $0.37 – $9.61 |
| 15 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.72 | $3.87 | $0.37 – $9.75 |
| 16 | UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges | $2.72 | $3.87 | $0.37 – $9.75 |
| 17 | UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $2.72 | $3.87 | $0.37 – $9.75 |
| 18 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · outpatientfrom % of charges | $2.97 | $4.23 | $0.41 – $10.66 |
| 19 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $3.19 | $4.54 | $0.43 – $11.42 |
| 20 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $3.19 | $4.54 | $0.43 – $11.42 |
| 21 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $3.49 | $4.98 | $0.48 – $12.54 |
| 22 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $3.49 | $4.98 | $0.48 – $12.54 |
Last updated: Jun 24, 2026
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