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
San Diego, CA
See all hospitals reporting HCPCS A9575 →Price type
Sharp Mesa Vista Hospital’s median price of $13 is 2563% 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, 30 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 | Aetna aetna whole health fee schedule · outpatient | $1.15 | $1.15 | $1.15 – $1.15 |
| 2 | Aetna first health - leased/ccn fee schedule · outpatient | $1.15 | $1.15 | $1.15 – $1.15 |
| 3 | UnitedHealthcare united healthcare - hmo fee schedule · outpatient | $1.30 | $1.30 | $1.30 – $1.30 |
| 4 | Cigna cigna - ppo percent of total billed charges · inpatientfrom % of charges | $3.00 | $3.00 | $3.00 – $3.00 |
| 5 | Medicare medicare percent of total billed charges · inpatientfrom % of charges | $3.00 | $3.00 | $3.00 – $3.00 |
| 6 | Aetna aetna whole health percent of total billed charges · inpatientfrom % of charges | $5.94 | $5.94 | $5.94 – $5.94 |
| 7 | Blue Cross Blue Shield blue shield - ppo percent of total billed charges · outpatientfrom % of charges | $5.94 | $5.94 | $5.94 – $5.94 |
| 8 | Aetna aetna - hmo/pos percent of total billed charges · outpatientfrom % of charges | $6.80 | $6.80 | $6.80 – $6.80 |
| 9 | Aetna aetna - ppo percent of total billed charges · inpatientfrom % of charges | $6.80 | $6.80 | $6.80 – $6.80 |
| 10 | Blue Cross Blue Shield blue cross - standard percent of total billed charges · outpatientfrom % of charges | $6.80 | $6.80 | $6.80 – $6.80 |
| 11 | Optum optum health - commercial percent of total billed charges · inpatientfrom % of charges | $6.80 | $6.80 | $6.80 – $6.80 |
| 12 | Optum optum health - commercial percent of total billed charges · outpatientfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 13 | Molina molina - cal medi-connect percent of total billed charges · outpatientfrom % of charges | $9.58 | $9.58 | $9.58 – $9.58 |
| 14 | Kaiser kaiser - hmo percent of total billed charges · inpatientfrom % of charges | $11.14 | $11.14 | $11.14 – $11.14 |
| 15 | Medicaid medi-cal percent of total billed charges · inpatientfrom % of charges | $12.00 | $12.00 | $12.00 – $12.00 |
| 16 | Kaiser kaiser - hmo percent of total billed charges · outpatientfrom % of charges | $12.60 | $12.60 | $12.60 – $12.60 |
| 17 | Medicaid medi-cal percent of total billed charges · outpatientfrom % of charges | $12.70 | $12.70 | $12.70 – $12.70 |
| 18 | Aetna first health - leased/ccn percent of total billed charges · inpatientfrom % of charges | $13.60 | $13.60 | $13.60 – $13.60 |
| 19 | UnitedHealthcare united healthcare - medicare percent of total billed charges · inpatientfrom % of charges | $13.60 | $13.60 | $13.60 – $13.60 |
| 20 | UnitedHealthcare united healthcare - ppo percent of total billed charges · inpatientfrom % of charges | $13.60 | $13.60 | $13.60 – $13.60 |
| 21 | Blue Cross Blue Shield blue shield - hmo percent of total billed charges · inpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 22 | Blue Cross Blue Shield blue shield - promise percent of total billed charges · outpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 23 | Cigna cigna - hmo percent of total billed charges · outpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 24 | Kaiser kaiser - rehab percent of total billed charges · inpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
| 25 | Molina molina - exchange percent of total billed charges · inpatientfrom % of charges | $14.00 | $14.00 | $14.00 – $14.00 |
Last updated: Apr 1, 2026
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