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
Livonia, MI
See all hospitals reporting HCPCS A9575 →Price type
St Mary Mercy Livonia’s median price of $98 is 20572% above the median hospital's median price ($0), higher than 85% 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: 20 payers, 24 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 | Blue Cross Blue Shield bcbs mi local hmo facility · fee schedule · both | $8.26 | $8.26 | $8.26 – $8.26 |
| 2 | Anthem bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 3 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 4 | Carefirst bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 5 | Excellus bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 6 | Highmark bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 7 | Kaiser bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 8 | Premera bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 9 | Regence bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 10 | Wellmark bcbs trad / trust facility · fee schedule · both | $13.58 | $13.58 | $13.58 – $13.58 |
| 11 | Caresource hap hmo facility · fee schedule · both | $32.34 | $32.34 | $32.34 – $32.34 |
| 12 | Aetna aetna ppo facility · fee schedule · both | $34.32 | $34.32 | $34.32 – $34.32 |
| 13 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $74.27 | $74.27 | $74.27 – $74.27 |
| 14 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $100.95 | $100.95 | $100.95 – $100.95 |
| 15 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $143.97 | $143.97 | $143.97 – $143.97 |
| 16 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $146.02 | $146.02 | $146.02 – $146.02 |
| 17 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $146.02 | $146.02 | $146.02 – $146.02 |
| 18 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $146.02 | $146.02 | $146.02 – $146.02 |
| 19 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $147.17 | $147.17 | $147.17 – $147.17 |
| 20 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $147.17 | $147.17 | $147.17 – $147.17 |
| 21 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $147.40 | $147.40 | $147.40 – $147.40 |
| 22 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $150.18 | $150.18 | $150.18 – $150.18 |
| 23 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $183.96 | $183.96 | $183.96 – $183.96 |
| 24 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $229.95 | $229.95 | $229.95 – $229.95 |
Last updated: Mar 31, 2026
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