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
Chula Vista, CA
See all hospitals reporting HCPCS A9575 →Price type
Sharp Chula Vista Medical Center’s median price of $11 is 2125% above the median hospital's median price ($0), higher than 67% 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, 28 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 | Molina molina medi-cal percent of total billed charges · inpatientfrom % of charges | $3.00 | $3.00 | $3.00 – $3.00 |
| 2 | Aetna first health - direct percent of total billed charges · inpatientfrom % of charges | $5.94 | $5.94 | $5.94 – $5.94 |
| 3 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $5.94 | $5.94 | $5.94 – $5.94 |
| 4 | Molina molina - cal medi-connect percent of total billed charges · outpatientfrom % of charges | $5.94 | $5.94 | $5.94 – $5.94 |
| 5 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $6.80 | $6.80 | $6.80 – $6.80 |
| 6 | UnitedHealthcare united healthcare - medicare percent of total billed charges · outpatientfrom % of charges | $6.80 | $6.80 | $6.80 – $6.80 |
| 7 | Blue Cross Blue Shield blue cross - ppo percent of total billed charges · outpatientfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 8 | Humana choice care network percent of total billed charges · outpatientfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 9 | Medicaid medi-cal percent of total billed charges · inpatientfrom % of charges | $9.58 | $9.58 | $9.58 – $9.58 |
| 10 | Molina molina - cal medi-connect percent of total billed charges · inpatientfrom % of charges | $9.58 | $9.58 | $9.58 – $9.58 |
| 11 | Medicaid medi-cal percent of total billed charges · outpatientfrom % of charges | $9.60 | $9.60 | $9.60 – $9.60 |
| 12 | Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges | $10.00 | $10.00 | $10.00 – $10.00 |
| 13 | Blue Cross Blue Shield blue cross - mcs percent of total billed charges · outpatientfrom % of charges | $11.14 | $11.14 | $11.14 – $11.14 |
| 14 | UnitedHealthcare united healthcare - ppo percent of total billed charges · inpatientfrom % of charges | $12.00 | $12.00 | $12.00 – $12.00 |
| 15 | UnitedHealthcare united healthcare - ppo percent of total billed charges · outpatientfrom % of charges | $12.20 | $12.20 | $12.20 – $12.20 |
| 16 | UnitedHealthcare united healthcare - hmo percent of total billed charges · outpatientfrom % of charges | $12.50 | $12.50 | $12.50 – $12.50 |
| 17 | Aetna aetna - hmo/pos percent of total billed charges · inpatientfrom % of charges | $13.10 | $13.10 | $13.10 – $13.10 |
| 18 | Aetna first health - leased/ccn percent of total billed charges · outpatientfrom % of charges | $13.40 | $13.40 | $13.40 – $13.40 |
| 19 | Aetna first health medicare percent of total billed charges · outpatientfrom % of charges | $13.50 | $13.50 | $13.50 – $13.50 |
| 20 | UnitedHealthcare united healthcare - hmo percent of total billed charges · inpatientfrom % of charges | $13.50 | $13.50 | $13.50 – $13.50 |
| 21 | Cigna cigna - hmo percent of total billed charges · inpatientfrom % of charges | $13.60 | $13.60 | $13.60 – $13.60 |
| 22 | Blue Cross Blue Shield blue cross - hmo percent of total billed charges · outpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 23 | Aetna aetna - ppo percent of total billed charges · inpatientfrom % of charges | $15.00 | $15.00 | $15.00 – $15.00 |
| 24 | Aetna first health medicare percent of total billed charges · inpatientfrom % of charges | $15.00 | $15.00 | $15.00 – $15.00 |
| 25 | Blue Cross Blue Shield blue cross - hmo percent of total billed charges · inpatientfrom % of charges | $15.00 | $15.00 | $15.00 – $15.00 |
Last updated: Apr 1, 2026
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