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 WRAPPER
Seattle, WA
See all hospitals reporting HCPCS A9575 →Price type
Seattle Children's Hospital’s median price of $639 is 134502% above the median hospital's median price ($0), higher than 99% 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: 11 payers, 27 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 | Kaiser molina apple health facility · percent of total billed charges · bothfrom % of charges | $199.46 | $222.08 | $171.19 – $295.60 |
| 2 | Molina molina apple health facility · percent of total billed charges · bothfrom % of charges | $199.46 | $222.08 | $171.19 – $295.60 |
| 3 | UnitedHealthcare united community apple health facility · percent of total billed charges · bothfrom % of charges | $205.33 | $228.61 | $176.22 – $304.29 |
| 4 | UnitedHealthcare united bh community apple health facility · percent of total billed charges · bothfrom % of charges | $252.26 | $280.87 | $216.50 – $373.84 |
| 5 | Premera premera exchange facility · percent of total billed charges · bothfrom % of charges | $419.04 | $466.56 | $359.64 – $621.00 |
| 6 | Premera premera public option facility · percent of total billed charges · bothfrom % of charges | $419.04 | $466.56 | $359.64 – $621.00 |
| 7 | Regence regence exchange facility · percent of total billed charges · bothfrom % of charges | $419.04 | $466.56 | $359.64 – $621.00 |
| 8 | Kaiser kaiser exchange facility · percent of total billed charges · bothfrom % of charges | $426.80 | $475.20 | $366.30 – $632.50 |
| 9 | Kaiser kaiser hmo facility · percent of total billed charges · bothfrom % of charges | $504.40 | $561.60 | $432.90 – $747.50 |
| 10 | Regence regence ump facility · percent of total billed charges · bothfrom % of charges | $504.40 | $561.60 | $432.90 – $747.50 |
| 11 | Premera premera hmo facility · percent of total billed charges · bothfrom % of charges | $527.68 | $587.52 | $452.88 – $782.00 |
| 12 | Premera premera narrow network facility · percent of total billed charges · bothfrom % of charges | $566.48 | $630.72 | $486.18 – $839.50 |
| 13 | Kaiser kaiser ppo facility · percent of total billed charges · bothfrom % of charges | $582.00 | $648.00 | $499.50 – $862.50 |
| 14 | Molina molina exchange facility · percent of total billed charges · bothfrom % of charges | $582.00 | $648.00 | $499.50 – $862.50 |
| 15 | UnitedHealthcare united exchange facility · percent of total billed charges · bothfrom % of charges | $582.00 | $648.00 | $499.50 – $862.50 |
| 16 | UnitedHealthcare united hmo facility · percent of total billed charges · bothfrom % of charges | $582.00 | $648.00 | $499.50 – $862.50 |
| 17 | UnitedHealthcare united narrow network facility · percent of total billed charges · bothfrom % of charges | $582.00 | $648.00 | $499.50 – $862.50 |
| 18 | Blue Cross Blue Shield regence ppo facility · percent of total billed charges · bothfrom % of charges | $644.08 | $717.12 | $552.78 – $954.50 |
| 19 | Premera premera ppo facility · percent of total billed charges · bothfrom % of charges | $644.08 | $717.12 | $552.78 – $954.50 |
| 20 | Regence regence ppo facility · percent of total billed charges · bothfrom % of charges | $644.08 | $717.12 | $552.78 – $954.50 |
| 21 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $651.84 | $725.76 | $559.44 – $966.00 |
| 22 | Cigna cigna narrow network facility · percent of total billed charges · bothfrom % of charges | $659.60 | $734.40 | $566.10 – $977.50 |
| 23 | Cigna cigna ppo facility · percent of total billed charges · bothfrom % of charges | $659.60 | $734.40 | $566.10 – $977.50 |
| 24 | UnitedHealthcare united ppo facility · percent of total billed charges · bothfrom % of charges | $659.60 | $734.40 | $566.10 – $977.50 |
| 25 | Humana multiplan ppo facility · percent of total billed charges · bothfrom % of charges | $737.20 | $820.80 | $632.70 – $1,093 |
Last updated: Mar 31, 2026
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