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
Dyersville, IA
See all hospitals reporting HCPCS A9575 →Price type
Mercy Medical Center - Dyersville’s median price of $83 is 17275% above the median hospital's median price ($0), higher than 83% 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: 10 payers, 12 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 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $55.32 | $55.32 | $55.32 – $55.32 |
| 2 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $59.24 | $59.24 | $59.24 – $59.24 |
| 3 | UnitedHealthcare united healthcare deere premier facility · percent of total billed charges · bothfrom % of charges | $69.86 | $69.86 | $69.86 – $69.86 |
| 4 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $70.24 | $70.24 | $70.24 – $70.24 |
| 5 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $82.53 | $82.53 | $82.53 – $82.53 |
| 6 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $82.53 | $82.53 | $82.53 – $82.53 |
| 7 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $82.53 | $82.53 | $82.53 – $82.53 |
| 8 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $89.82 | $89.82 | $89.82 – $89.82 |
| 9 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $89.82 | $89.82 | $89.82 – $89.82 |
| 10 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $89.82 | $89.82 | $89.82 – $89.82 |
| 11 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $89.82 | $89.82 | $89.82 – $89.82 |
| 12 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $93.89 | $93.89 | $93.89 – $93.89 |
Last updated: Mar 31, 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.