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
Palos Heights, IL
See all hospitals reporting HCPCS A9575 →Price type
Palos Community Hospital’s median price of $192 is 40254% above the median hospital's median price ($0), higher than 92% 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: 8 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield ph bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $55.64 | $55.64 | $22.28 – $89.00 |
| 2 | Blue Cross Blue Shield ph bcbs bluechoice options select percent of total billed charges · outpatientfrom % of charges | $55.64 | $55.64 | $22.28 – $89.00 |
| 3 | Blue Cross Blue Shield ph bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $55.64 | $55.64 | $22.28 – $89.00 |
| 4 | Blue Cross Blue Shield ph bcbs ppo percent of total billed charges · outpatientfrom % of charges | $66.77 | $66.77 | $26.74 – $106.80 |
| 5 | Aetna ph aetna nm employees percent of total billed charges · outpatientfrom % of charges | $74.77 | $74.77 | $29.94 – $119.59 |
| 6 | Aetna ph aetna il preferred percent of total billed charges · outpatientfrom % of charges | $117.89 | $117.89 | $47.21 – $188.57 |
| 7 | Blue Cross Blue Shield ph bcbs hmo percent of total billed charges · outpatientfrom % of charges | $136.08 | $136.08 | $54.49 – $217.66 |
| 8 | Aetna ph aetna percent of total billed charges · outpatientfrom % of charges | $197.53 | $197.52 | $79.09 – $315.95 |
| 9 | First Health ph aetna percent of total billed charges · outpatientfrom % of charges | $197.53 | $197.52 | $79.09 – $315.95 |
| 10 | Magellan ph magellan bhs percent of total billed charges · outpatientfrom % of charges | $208.65 | $208.65 | $83.55 – $333.75 |
| 11 | MultiPlan ph multiplan/phcs percent of total billed charges · outpatientfrom % of charges | $243.43 | $243.43 | $97.48 – $389.38 |
| 12 | First Health ph first health percent of total billed charges · outpatientfrom % of charges | $260.82 | $260.82 | $104.44 – $417.19 |
| 13 | Beechstreet ph beechstreet percent of total billed charges · outpatientfrom % of charges | $278.20 | $278.20 | $111.40 – $445.00 |
| 14 | Cigna ph cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $278.20 | $278.20 | $111.40 – $445.00 |
| 15 | Aetna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $347.75 | $347.75 | $139.25 – $556.25 |
| 16 | Blue Cross Blue Shield ph bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $347.75 | $347.75 | $139.25 – $556.25 |
| 17 | Cigna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $347.75 | $347.75 | $139.25 – $556.25 |
| 18 | MultiPlan ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $347.75 | $347.75 | $139.25 – $556.25 |
| 19 | UnitedHealthcare ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $347.75 | $347.75 | $139.25 – $556.25 |
| 20 | UnitedHealthcare ph uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $347.75 | $347.75 | $139.25 – $556.25 |
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.