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
Geneva, IL
See all hospitals reporting HCPCS A9575 →Price type
Northwestern Medicine Delnor Hospital’s median price of $363 is 76420% above the median hospital's median price ($0), higher than 97% 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: 7 payers, 17 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield dch bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $98.90 | $92.50 | $14.01 – $158.20 |
| 2 | Blue Cross Blue Shield dch bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $98.90 | $92.50 | $14.01 – $158.20 |
| 3 | Aetna dch aetna nm employees percent of total billed charges · outpatientfrom % of charges | $108.19 | $101.19 | $15.32 – $173.07 |
| 4 | Blue Cross Blue Shield dch bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $119.48 | $111.75 | $16.92 – $191.12 |
| 5 | Blue Cross Blue Shield dch bcbs ppo percent of total billed charges · outpatientfrom % of charges | $154.65 | $144.65 | $21.90 – $247.39 |
| 6 | Blue Cross Blue Shield dch bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $371.04 | $347.04 | $52.55 – $593.52 |
| 7 | Aetna dch aetna percent of total billed charges · outpatientfrom % of charges | $411.53 | $384.91 | $58.28 – $658.29 |
| 8 | First Health dch aetna percent of total billed charges · outpatientfrom % of charges | $411.53 | $384.91 | $58.28 – $658.29 |
| 9 | Aetna dch aetna asa percent of total billed charges · outpatientfrom % of charges | $450.69 | $421.53 | $63.83 – $720.93 |
| 10 | First Health dch first health percent of total billed charges · outpatientfrom % of charges | $457.99 | $428.36 | $64.86 – $732.61 |
| 11 | Blue Cross Blue Shield dch bcbs hmo percent of total billed charges · outpatientfrom % of charges | $462.77 | $432.83 | $65.54 – $740.25 |
| 12 | MultiPlan dch phcs percent of total billed charges · outpatientfrom % of charges | $497.82 | $465.61 | $70.50 – $796.31 |
| 13 | Cigna dch cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $531.00 | $496.65 | $75.20 – $849.40 |
| 14 | Beechstreet dch beech street/capp care percent of total billed charges · outpatientfrom % of charges | $597.38 | $558.73 | $84.60 – $955.58 |
| 15 | MultiPlan dch multiplan percent of total billed charges · outpatientfrom % of charges | $597.38 | $558.73 | $84.60 – $955.58 |
| 16 | MultiPlan dch non-contracted payors percent of total billed charges · outpatientfrom % of charges | $663.75 | $620.81 | $94.00 – $1,062 |
| 17 | UnitedHealthcare dch uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $663.75 | $620.81 | $94.00 – $1,062 |
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.