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
Jacksonville, FL
See all hospitals reporting HCPCS A9575 →Price type
Mayo Clinic Florida’s median price of $38 is 7934% above the median hospital's median price ($0), higher than 74% 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, 49 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 | Blue Cross Blue Shield blue cross blue shield bluecare [1347] facility · percent of total billed charges · bothfrom % of charges | $21.07 | $21.07 | $21.07 – $21.07 |
| 2 | Anthem blue cross blue shield [121] facility · percent of total billed charges · bothfrom % of charges | $23.36 | $23.36 | $23.36 – $23.36 |
| 3 | Blue Cross Blue Shield blue cross blue shield [121] facility · percent of total billed charges · bothfrom % of charges | $23.36 | $23.36 | $23.36 – $23.36 |
| 4 | Blue Cross Blue Shield blue cross blue shield federal retiree [1023] facility · percent of total billed charges · bothfrom % of charges | $23.36 | $23.36 | $23.36 – $23.36 |
| 5 | Blue Cross Blue Shield tx blue cross blue shield [1377] facility · percent of total billed charges · bothfrom % of charges | $23.36 | $23.36 | $23.36 – $23.36 |
| 6 | Medica united healthcare [45] facility · percent of total billed charges · bothfrom % of charges | $23.53 | $23.53 | $23.53 – $23.53 |
| 7 | Optum united healthcare [45] facility · percent of total billed charges · bothfrom % of charges | $23.53 | $23.53 | $23.53 – $23.53 |
| 8 | UnitedHealthcare united healthcare [45] facility · percent of total billed charges · bothfrom % of charges | $23.53 | $23.53 | $23.53 – $23.53 |
| 9 | UnitedHealthcare united healthcare gap exception [1381] facility · percent of total billed charges · bothfrom % of charges | $23.53 | $23.53 | $23.53 – $23.53 |
| 10 | Cigna cigna [44] facility · percent of total billed charges · bothfrom % of charges | $25.44 | $25.44 | $25.44 – $25.44 |
| 11 | Cigna cigna gap exception [1384] facility · percent of total billed charges · bothfrom % of charges | $25.44 | $25.44 | $25.44 – $25.44 |
| 12 | Healthpartners cigna [44] facility · percent of total billed charges · bothfrom % of charges | $25.44 | $25.44 | $25.44 – $25.44 |
| 13 | Humana cigna [44] facility · percent of total billed charges · bothfrom % of charges | $25.44 | $25.44 | $25.44 – $25.44 |
| 14 | Medcost cigna [44] facility · percent of total billed charges · bothfrom % of charges | $25.44 | $25.44 | $25.44 – $25.44 |
| 15 | Medical Mutual cigna [44] facility · percent of total billed charges · bothfrom % of charges | $25.44 | $25.44 | $25.44 – $25.44 |
| 16 | Oscar cigna [44] facility · percent of total billed charges · bothfrom % of charges | $25.44 | $25.44 | $25.44 – $25.44 |
| 17 | Aetna aetna [29] facility · percent of total billed charges · bothfrom % of charges | $26.29 | $26.29 | $26.29 – $26.29 |
| 18 | Medical Mutual aetna [29] facility · percent of total billed charges · bothfrom % of charges | $26.29 | $26.29 | $26.29 – $26.29 |
| 19 | Blue Cross Blue Shield cc complex care [766] facility · percent of total billed charges · bothfrom % of charges | $27.56 | $27.56 | $27.56 – $27.56 |
| 20 | Healthpartners cc complex care [766] facility · percent of total billed charges · bothfrom % of charges | $27.56 | $27.56 | $27.56 – $27.56 |
| 21 | Aetna transplant [697] facility · percent of total billed charges · bothfrom % of charges | $31.80 | $31.80 | $31.80 – $31.80 |
| 22 | Cigna tx cigna [839] facility · percent of total billed charges · bothfrom % of charges | $31.80 | $31.80 | $31.80 – $31.80 |
| 23 | Humana all other plans [818] facility · percent of total billed charges · bothfrom % of charges | $31.80 | $31.80 | $31.80 – $31.80 |
| 24 | Kaiser transplant [694] facility · percent of total billed charges · bothfrom % of charges | $31.80 | $31.80 | $31.80 – $31.80 |
| 25 | Medica medica non mayo employees group [758] facility · percent of total billed charges · bothfrom % of charges | $33.92 | $33.92 | $33.92 – $33.92 |
Last updated: Aug 14, 2026
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