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
Phoenix, AZ
See all hospitals reporting HCPCS A9575 →Price type
Mayo Clinic Arizona’s median price of $26 is 5420% above the median hospital's median price ($0), higher than 71% 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: 17 payers, 83 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 | Optum az veteran affairs optum [1056] professional · fee schedule · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 2 | UnitedHealthcare az uhc gap exception [1386] professional · percent of total billed charges · outpatientfrom % of charges | $0.61 | $0.61 | $0.61 – $0.61 |
| 3 | Cigna az cigna gap expection [1389] professional · percent of total billed charges · outpatientfrom % of charges | $0.62 | $0.62 | $0.62 – $0.62 |
| 4 | Blue Cross Blue Shield az bcbs federal retiree [1319] professional · percent of total billed charges · outpatientfrom % of charges | $0.68 | $0.68 | $0.68 – $0.68 |
| 5 | Medica az tx medica mayo employee [834] professional · percent of total billed charges · outpatientfrom % of charges | $0.68 | $0.68 | $0.68 – $0.68 |
| 6 | Blue Cross Blue Shield az bcbs emergency services by payer [1294] professional · percent of total billed charges · outpatientfrom % of charges | $0.81 | $0.81 | $0.81 – $0.81 |
| 7 | Medica az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges | $2.03 | $2.03 | $2.03 – $2.03 |
| 8 | Optum az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges | $2.03 | $2.03 | $2.03 – $2.03 |
| 9 | UnitedHealthcare az uhc optum [36] professional · percent of total billed charges · outpatientfrom % of charges | $2.03 | $2.03 | $2.03 – $2.03 |
| 10 | Cigna az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges | $2.07 | $2.07 | $2.07 – $2.07 |
| 11 | Healthpartners az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges | $2.07 | $2.07 | $2.07 – $2.07 |
| 12 | Humana az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges | $2.07 | $2.07 | $2.07 – $2.07 |
| 13 | Medcost az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges | $2.07 | $2.07 | $2.07 – $2.07 |
| 14 | Medical Mutual az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges | $2.07 | $2.07 | $2.07 – $2.07 |
| 15 | Oscar az cigna [52] professional · percent of total billed charges · outpatientfrom % of charges | $2.07 | $2.07 | $2.07 – $2.07 |
| 16 | Aetna az by plan [165] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 17 | Aetna az transplant [49] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 18 | Anthem az bcbs blue card [1018] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 19 | Blue Cross Blue Shield az bcbs [187] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 20 | Blue Cross Blue Shield az bcbs blue card [1018] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 21 | Blue Cross Blue Shield az tx bcbs [876] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 22 | Cigna az tx cigna [840] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 23 | Healthpartners az cc complex care [771] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 24 | Humana az transplant [49] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
| 25 | Kaiser az transplant [49] professional · percent of total billed charges · outpatientfrom % of charges | $2.25 | $2.25 | $2.25 – $2.25 |
Last updated: Aug 14, 2026
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