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
Festus, MO
See all hospitals reporting HCPCS A9575 →Price type
Mercy Hospital Jefferson’s median price of $175 is 36742% above the median hospital's median price ($0), higher than 92% 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: 13 payers, 27 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Anthem hb jefn anthem blue access facility · fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 2 | Anthem hb jefn anthem blue access choice facility · fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 3 | Blue Cross Blue Shield hb jefn anthem blue access facility · fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 4 | Blue Cross Blue Shield hb jefn anthem blue access choice facility · fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 5 | Blue Cross Blue Shield hb jefn anthem blue preferred eff 011520 facility · fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 6 | Blue Cross Blue Shield hb jefn anthem pathway/exchange eff 011520 facility · fee schedule · outpatient | $0.16 | $0.16 | $0.16 – $0.16 |
| 7 | Optum hb jefn uhc hmo ppo all payer facility · fee schedule · outpatient | $26.00 | $26.00 | $26.00 – $26.00 |
| 8 | UnitedHealthcare hb jefn uhc compass/exchange facility · fee schedule · outpatient | $26.00 | $26.00 | $26.00 – $26.00 |
| 9 | UnitedHealthcare hb jefn uhc core new 100121 facility · fee schedule · outpatient | $26.00 | $26.00 | $26.00 – $26.00 |
| 10 | UnitedHealthcare hb jefn uhc hmo ppo all payer facility · fee schedule · outpatient | $26.00 | $26.00 | $26.00 – $26.00 |
| 11 | Molina hb wash jefn linc samc molina healthchoice of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $32.50 | $32.50 | $32.50 – $32.50 |
| 12 | Aetna hb wash jefn linc samc aetna better health of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $75.00 | $75.00 | $75.00 – $75.00 |
| 13 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $75.00 | $75.00 | $75.00 – $75.00 |
| 14 | Blue Cross Blue Shield hb jefn missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $100.00 | $100.00 | $100.00 – $100.00 |
| 15 | Medicaid hb jefn mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $100.00 | $100.00 | $100.00 – $100.00 |
| 16 | UnitedHealthcare hb jefn uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $100.00 | $100.00 | $100.00 – $100.00 |
| 17 | Aetna hb wash jefn aetna commercial new 070123 facility · percent of total billed charges · outpatientfrom % of charges | $135.00 | $135.00 | $135.00 – $135.00 |
| 18 | Ambetter hb stlo wash jefn centene exchange/ambetter eff 090118 facility · percent of total billed charges · outpatientfrom % of charges | $150.00 | $150.00 | $150.00 – $150.00 |
| 19 | Medica hb jefn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $151.50 | $151.50 | $151.50 – $151.50 |
| 20 | Cigna hb stlo wash jefn samc cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $225.00 | $225.00 | $225.00 – $225.00 |
| 21 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $237.50 | $237.50 | $237.50 – $237.50 |
| 22 | First Health hb stlo wash jefn phcs primary facility · percent of total billed charges · outpatientfrom % of charges | $350.00 | $350.00 | $350.00 – $350.00 |
| 23 | MultiPlan hb stlo wash jefn phcs primary facility · percent of total billed charges · outpatientfrom % of charges | $350.00 | $350.00 | $350.00 – $350.00 |
| 24 | First Health hb stlo wash jefn samc first health / network access facility · percent of total billed charges · outpatientfrom % of charges | $355.00 | $355.00 | $355.00 – $355.00 |
| 25 | MultiPlan hb stlo wash jefn linc multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $375.00 | $375.00 | $375.00 – $375.00 |
Last updated: Jun 10, 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.