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 University Hospital - Northeastern Campus’s median price of $0 is 56% below the median hospital's median price ($0), higher than 31% 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: 7 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 | Bcbs Nj indemnity facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 3 | Bcbs Nj managed care facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 4 | Bcbs Nj ppo facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 5 | Highmark medicare advantage facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 6 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 7 | Highmark commercial facility · fee schedule · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 8 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $7.99 | $10.38 | $6.48 – $19.05 |
| 9 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $7.99 | $10.38 | $6.48 – $19.05 |
| 10 | 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 |
| 11 | Bcbs Pa medicare advantage select 65 facility · percent of total billed charges · outpatientfrom % of charges | $12.57 | $16.33 | $10.19 – $29.98 |
| 12 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $14.44 | $18.76 | $11.71 – $34.45 |
| 13 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $17.80 | $23.13 | $14.44 – $42.47 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $35.21 | $45.75 | $28.55 – $84.01 |
| 15 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $35.21 | $45.75 | $28.55 – $84.01 |
| 16 | Aetna workers' comp facility · percent of total billed charges · outpatientfrom % of charges | $35.21 | $45.75 | $28.55 – $84.01 |
| 17 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $35.41 | $46.00 | $28.71 – $84.48 |
| 18 | Bcbs Pa hmo/ppo/temple member facility · percent of total billed charges · outpatientfrom % of charges | $44.24 | $57.48 | $35.88 – $105.56 |
| 19 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $44.50 | $57.82 | $36.09 – $106.19 |
| 20 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $44.50 | $57.82 | $36.09 – $106.19 |
Last updated: Apr 13, 2026
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