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
Philadelphia, PA
See all hospitals reporting HCPCS A9575 →Price type
Temple Health - Chestnut Hill Hospital’s median price of $32 is 6618% above the median hospital's median price ($0), higher than 72% 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: 6 payers, 20 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 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 2 | UnitedHealthcare chip facility · fee schedule · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 3 | UnitedHealthcare community plan facility · fee schedule · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 4 | Bcbs Nj indemnity facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 5 | Bcbs Nj managed care facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 6 | Bcbs Nj ppo facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 7 | Highmark medicare advantage facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 8 | Highmark commercial facility · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 9 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $12.57 | $16.33 | $10.19 – $29.98 |
| 10 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $21.60 | $28.06 | $17.51 – $51.53 |
| 11 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $35.73 | $46.43 | $28.98 – $85.26 |
| 12 | UnitedHealthcare vaccn facility · percent of total billed charges · outpatientfrom % of charges | $52.36 | $68.02 | $42.46 – $124.92 |
| 13 | Cigna medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $65.45 | $85.03 | $53.08 – $156.16 |
| 14 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $67.58 | $87.81 | $54.81 – $161.25 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $78.53 | $102.04 | $63.69 – $187.39 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $78.53 | $102.04 | $63.69 – $187.39 |
| 17 | Bcbs Pa tiered ppaca facility · percent of total billed charges · outpatientfrom % of charges | $81.22 | $105.52 | $65.87 – $193.79 |
| 18 | Bcbs Pa hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $85.47 | $111.05 | $69.32 – $203.94 |
| 19 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $97.25 | $126.36 | $78.87 – $232.05 |
| 20 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $119.11 | $154.75 | $96.60 – $284.20 |
Last updated: Apr 8, 2026
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