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
Galena, KS
See all hospitals reporting HCPCS A9575 →Price type
Mercy Specialty Hospital Southeast Kansas’s median price of $103 is 21492% above the median hospital's median price ($0), higher than 86% 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: 8 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 | Aetna hb seks ok medicaid facility · fee schedule · outpatient | $11.00 | $11.00 | $11.00 – $11.00 |
| 2 | Humana hb seks ok medicaid facility · fee schedule · outpatient | $11.00 | $11.00 | $11.00 – $11.00 |
| 3 | Medicaid hb seks ok medicaid facility · fee schedule · outpatient | $11.00 | $11.00 | $11.00 – $11.00 |
| 4 | Anthem hb seks blue cross choice facility · fee schedule · outpatient | $27.55 | $27.55 | $27.55 – $27.55 |
| 5 | Blue Cross Blue Shield hb seks blue cross choice facility · fee schedule · outpatient | $27.55 | $27.55 | $27.55 – $27.55 |
| 6 | Blue Cross Blue Shield hb seks blue cross cap facility · fee schedule · outpatient | $29.00 | $29.00 | $29.00 – $29.00 |
| 7 | Blue Cross Blue Shield hb seks healthy blue mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $29.30 | $29.30 | $29.30 – $29.30 |
| 8 | Medicaid hb seks mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $29.30 | $29.30 | $29.30 – $29.30 |
| 9 | UnitedHealthcare hb seks uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $29.30 | $29.30 | $29.30 – $29.30 |
| 10 | Medica hb jopl/seks medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $53.33 | $53.33 | $53.33 – $53.33 |
| 11 | Medicaid hb seks ark medicaid facility · fee schedule · outpatient | $54.00 | $54.00 | $54.00 – $54.00 |
| 12 | MultiPlan hb seks multiplan facility · percent of total billed charges · outpatientfrom % of charges | $139.19 | $139.19 | $139.19 – $139.19 |
Last updated: Jun 9, 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.