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
PR INJ GADOTERATE MEGLUMI 0.1ML
Bronx, NY
See all hospitals reporting HCPCS A9575 →Price type
Montefiore Medical Center’s median price of $0 is 73% below the median hospital's median price ($0), higher than 10% 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: 11 payers, 57 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 | Anthem child health plus fee schedule · both | $0.06 | $0.06 | $0.06 – $0.06 |
| 2 | Aetna commercial midlevels fee schedule · both | $0.10 | $0.10 | $0.10 – $0.10 |
| 3 | Blue Cross Blue Shield medicare midlevels fee schedule · both | $0.10 | $0.10 | $0.10 – $0.10 |
| 4 | Cigna cigna paraprofessionals fee schedule · both | $0.10 | $0.10 | $0.10 – $0.10 |
| 5 | Humana medicare midlevels fee schedule · both | $0.10 | $0.10 | $0.10 – $0.10 |
| 6 | Aetna commercial fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 7 | Aetna medicare fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 8 | Aetna medicare midlevels fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 9 | Anthem medicare fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 10 | Blue Cross Blue Shield essential 1 & 2 fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 11 | Blue Cross Blue Shield essential 3 & 4 fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 12 | Blue Cross Blue Shield medicare fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 13 | Blue Cross Blue Shield medicare/dual fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 14 | Cigna cigna employed physicians fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 15 | Cigna medicare fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 16 | Cigna medicare midlevels fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 17 | Medicare part b fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 18 | Medicare part b - pa's & np's fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 19 | Oscar commercial fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 20 | Oscar medicare fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 21 | WellCare medicaid specialists fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 22 | Humana medicare fee schedule · both | $0.13 | $0.13 | $0.12 – $0.13 |
| 23 | UnitedHealthcare medicare fee schedule · both | $0.13 | $0.13 | $0.12 – $0.13 |
| 24 | UnitedHealthcare empire plan - midlevels fee schedule · both | $0.13 | $0.13 | $0.13 – $0.13 |
| 25 | UnitedHealthcare empire plan md/dos fee schedule · both | $0.13 | $0.13 | $0.13 – $0.13 |
Last updated: Sep 28, 2026
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