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 1 MMOL/2 ML IV SOLN WRAPPER
River, MA
See all hospitals reporting HCPCS A9575 →Price type
Southcoast Hospitals Group, Inc.’s median price of $0 is 98% below the median hospital's median price ($0), higher than 0% 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, 11 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 medicare managed care [101030101] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Ma bcbs massachusetts hmo [101040122] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Cigna cigna [100011201] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | UnitedHealthcare united health one care [101031004] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | UnitedHealthcare united medicare managed care [101031001] other · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Bcbs Ri bcbs rhode island hmo [101050101] fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 8 | UnitedHealthcare united healthcare [101080105] percent of total billed charges · outpatientfrom % of charges | $68.13 | $68.13 | $68.13 – $68.13 |
| 9 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $88.56 | $88.56 | $88.56 – $88.56 |
| 10 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $103.69 | $103.69 | $103.69 – $103.69 |
| 11 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $103.69 | $103.69 | $103.69 – $103.69 |
Last updated: Dec 15, 2025
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