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
Utica, NY
See all hospitals reporting HCPCS A9575 →Price type
MVHS, Inc.’s median price of $221 is 46437% above the median hospital's median price ($0), higher than 94% 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: 6 payers, 9 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 | Excellus excellus bcbs medicaid fee schedule · both | $13.50 | $13.50 | $9.00 – $18.00 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · both | $13.50 | $13.50 | $9.00 – $18.00 |
| 3 | UnitedHealthcare uhc empire plan fee schedule · both | $85.50 | $85.50 | $57.00 – $114.00 |
| 4 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $290.19 | $290.19 | $193.46 – $386.92 |
| 5 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $331.58 | $331.58 | $221.05 – $442.11 |
| 6 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $331.58 | $331.58 | $221.05 – $442.11 |
| 7 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $331.58 | $331.58 | $221.05 – $442.11 |
| 8 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $331.58 | $331.58 | $221.05 – $442.11 |
| 9 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $365.18 | $365.18 | $243.45 – $486.90 |
Last updated: Aug 7, 2026
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