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) IV SOLN
Lake Forest, IL
See all hospitals reporting HCPCS A9575 →Price type
Northwestern Lake Forest Hospital’s median price of $89 is 18643% above the median hospital's median price ($0), higher than 84% 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, 15 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 nlfh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $32.66 | $32.66 | $32.66 – $32.66 |
| 2 | Blue Cross Blue Shield nlfh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $41.69 | $41.69 | $41.69 – $41.69 |
| 3 | Blue Cross Blue Shield nlfh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $46.04 | $46.04 | $46.04 – $46.04 |
| 4 | Blue Cross Blue Shield nlfh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $46.04 | $46.04 | $46.04 – $46.04 |
| 5 | Blue Cross Blue Shield nlfh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $46.04 | $46.04 | $46.04 – $46.04 |
| 6 | Blue Cross Blue Shield nlfh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $53.71 | $53.71 | $53.71 – $53.71 |
| 7 | Aetna nlfh aetna percent of total billed charges · outpatientfrom % of charges | $84.60 | $84.60 | $84.60 – $84.60 |
| 8 | Blue Cross Blue Shield nlfh bc lake county phys assoc ipa percent of total billed charges · outpatientfrom % of charges | $88.54 | $88.54 | $88.54 – $88.54 |
| 9 | Aetna nlfh aetna asa percent of total billed charges · outpatientfrom % of charges | $89.52 | $89.52 | $89.52 – $89.52 |
| 10 | Beechstreet nlfh phcs percent of total billed charges · outpatientfrom % of charges | $157.40 | $157.40 | $157.40 – $157.40 |
| 11 | MultiPlan nlfh phcs percent of total billed charges · outpatientfrom % of charges | $157.40 | $157.40 | $157.40 – $157.40 |
| 12 | First Health nlfh first health percent of total billed charges · outpatientfrom % of charges | $161.34 | $161.34 | $161.34 – $161.34 |
| 13 | Blue Cross Blue Shield nlfh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $196.75 | $196.75 | $196.75 – $196.75 |
| 14 | MultiPlan nlfh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $196.75 | $196.75 | $196.75 – $196.75 |
| 15 | UnitedHealthcare nlfh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $196.75 | $196.75 | $196.75 – $196.75 |
Last updated: Apr 1, 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.