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
Perryville, MO
See all hospitals reporting HCPCS A9575 →Price type
Mercy Perry’s median price of $288 is 60595% above the median hospital's median price ($0), higher than 96% 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: 16 payers, 29 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 hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $26.00 | $26.00 | $26.00 – $26.00 |
| 2 | UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient | $26.00 | $26.00 | $26.00 – $26.00 |
| 3 | UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient | $26.00 | $26.00 | $26.00 – $26.00 |
| 4 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $69.75 | $69.75 | $69.75 – $69.75 |
| 5 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $93.00 | $93.00 | $93.00 – $93.00 |
| 6 | Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $93.00 | $93.00 | $93.00 – $93.00 |
| 7 | UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $93.00 | $93.00 | $93.00 – $93.00 |
| 8 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $141.41 | $141.41 | $141.41 – $141.41 |
| 9 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $141.41 | $141.41 | $141.41 – $141.41 |
| 10 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $141.41 | $141.41 | $141.41 – $141.41 |
| 11 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $141.41 | $141.41 | $141.41 – $141.41 |
| 12 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $141.41 | $141.41 | $141.41 – $141.41 |
| 13 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $141.41 | $141.41 | $141.41 – $141.41 |
| 14 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $144.15 | $144.15 | $144.15 – $144.15 |
| 15 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $147.03 | $147.03 | $147.03 – $147.03 |
| 16 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $147.08 | $147.08 | $147.08 – $147.08 |
| 17 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $168.56 | $168.56 | $168.56 – $168.56 |
| 18 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $195.30 | $195.30 | $195.30 – $195.30 |
| 19 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $220.41 | $220.41 | $220.41 – $220.41 |
| 20 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $220.88 | $220.88 | $220.88 – $220.88 |
| 21 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $288.30 | $288.30 | $288.30 – $288.30 |
| 22 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $288.30 | $288.30 | $288.30 – $288.30 |
| 23 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $304.58 | $304.58 | $304.58 – $304.58 |
| 24 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $304.58 | $304.58 | $304.58 – $304.58 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $325.50 | $325.50 | $325.50 – $325.50 |
Last updated: Mar 12, 2026
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