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
Westerville, OH
See all hospitals reporting HCPCS A9575 →Price type
Mount Carmel St Ann's’s median price of $21 is 4325% above the median hospital's median price ($0), higher than 69% 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: 12 payers, 20 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 | Medical Mutual medical mutual medflex facility · fee schedule · both | $19.49 | $19.49 | $19.49 – $19.49 |
| 2 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $20.21 | $20.21 | $20.21 – $20.21 |
| 3 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $21.02 | $21.02 | $21.02 – $21.02 |
| 4 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $22.10 | $22.10 | $22.10 – $22.10 |
| 5 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $22.77 | $22.77 | $22.77 – $22.77 |
| 6 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $23.01 | $23.01 | $23.01 – $23.01 |
| 7 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $23.01 | $23.01 | $23.01 – $23.01 |
| 8 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $23.72 | $23.72 | $23.72 – $23.72 |
| 9 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $24.89 | $24.89 | $24.89 – $24.89 |
| 10 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $25.23 | $25.23 | $25.23 – $25.23 |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $25.65 | $25.65 | $25.65 – $25.65 |
| 12 | Medical Mutual medical mutual supermed ppo pos hmo facility · fee schedule · both | $28.23 | $28.23 | $28.23 – $28.23 |
| 13 | Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges | $32.85 | $32.85 | $32.85 – $32.85 |
| 14 | Medical Mutual medical mutual ohio health traditional facility · percent of total billed charges · bothfrom % of charges | $35.70 | $35.70 | $35.70 – $35.70 |
| 15 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $35.96 | $35.96 | $35.96 – $35.96 |
| 16 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $35.96 | $35.96 | $35.96 – $35.96 |
| 17 | Aetna aetnaio health facility · percent of total billed charges · bothfrom % of charges | $45.00 | $45.00 | $45.00 – $45.00 |
| 18 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $45.00 | $45.00 | $45.00 – $45.00 |
| 19 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $45.00 | $45.00 | $45.00 – $45.00 |
| 20 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $45.00 | $45.00 | $45.00 – $45.00 |
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.