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 5 MMOL/10ML IV SOLN
Plainsboro, NJ
See all hospitals reporting HCPCS A9575 →Price type
Penn Medicine Princeton Medical Center’s median price of $108 is 22637% above the median hospital's median price ($0), higher than 86% 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: 9 payers, 23 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 | Cigna cigna new business facility · fee schedule · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 2 | Aetna Better Health aetna better health facility · percent of total billed charges · outpatientfrom % of charges | $14.94 | $23.02 | $7.74 – $85.75 |
| 3 | WellCare wellcare facility · other · outpatient | $16.43 | $25.32 | $8.52 – $94.32 |
| 4 | Aetna aetna medicare hmo facility · other · outpatient | $23.65 | $36.45 | $12.26 – $135.78 |
| 5 | Blue Cross Blue Shield horizon blue cross of nj-medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $32.55 | $50.16 | $16.88 – $186.84 |
| 6 | Aetna aetna whole health facility · other · outpatient | $46.82 | $72.15 | $24.28 – $268.77 |
| 7 | Blue Cross Blue Shield horizon casuality workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $78.17 | $120.47 | $40.53 – $448.73 |
| 8 | Blue Cross Blue Shield horizon casuality pip facility · percent of total billed charges · outpatientfrom % of charges | $94.14 | $145.08 | $48.81 – $540.42 |
| 9 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $99.14 | $152.80 | $51.41 – $569.16 |
| 10 | Aetna aetna automobile network facility · percent of total billed charges · outpatientfrom % of charges | $105.30 | $162.28 | $54.60 – $604.50 |
| 11 | Aetna aetna rental network facility · percent of total billed charges · inpatientfrom % of charges | $112.59 | $173.52 | $58.38 – $646.35 |
| 12 | Aetna aetna rental network facility · percent of total billed charges · outpatientfrom % of charges | $112.59 | $173.52 | $58.38 – $646.35 |
| 13 | Aetna aetna workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $112.91 | $174.02 | $58.55 – $648.21 |
| 14 | UnitedHealthcare oxford facility · percent of total billed charges · outpatientfrom % of charges | $121.50 | $187.25 | $63.00 – $697.50 |
| 15 | UnitedHealthcare unitedhealthcare facility · percent of total billed charges · outpatientfrom % of charges | $121.50 | $187.25 | $63.00 – $697.50 |
| 16 | UnitedHealthcare unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $121.50 | $187.25 | $63.00 – $697.50 |
| 17 | Blue Cross Blue Shield horizon casuality pip facility · percent of total billed charges · inpatientfrom % of charges | $121.86 | $187.80 | $63.18 – $699.55 |
| 18 | Aetna aetna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $134.95 | $207.97 | $69.97 – $774.69 |
| 19 | Aetna aetna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $134.95 | $207.97 | $69.97 – $774.69 |
| 20 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $162.00 | $249.67 | $84.00 – $930.00 |
| 21 | Clover clover health plan facility · other · outpatient | $162.00 | $249.67 | $84.00 – $930.00 |
| 22 | Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges | $162.00 | $249.67 | $84.00 – $930.00 |
| 23 | Tricare tricare facility · fee schedule · outpatient | $162.00 | $249.67 | $84.00 – $930.00 |
Last updated: Mar 20, 2026
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