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 5 MMOL 10ML IV SOLN
Philadelphia, PA
See all hospitals reporting HCPCS A9575 →Price type
The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania’s median price of $100 is 20995% above the median hospital's median price ($0), higher than 86% 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: 13 payers, 28 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Cigna cigna new business facility · fee schedule · outpatient | $0.11 | $0.11 | $0.11 – $0.11 |
| 2 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 3 | Optum optum urn-transplant managed medicaid facility · other · outpatient | $23.41 | $37.29 | $12.94 – $143.22 |
| 4 | Highmark highmark facility · other · outpatient | $38.00 | $60.54 | $21.00 – $232.50 |
| 5 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $52.65 | $83.88 | $29.10 – $322.15 |
| 6 | Devoted devoted health medicare advantage facility · other · outpatient | $60.80 | $96.86 | $33.60 – $372.00 |
| 7 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $61.41 | $97.83 | $33.94 – $375.72 |
| 8 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $62.02 | $98.80 | $34.27 – $379.44 |
| 9 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $66.58 | $106.06 | $36.79 – $407.34 |
| 10 | Aetna aetna commercial hmo with capitation facility · other · outpatient | $66.58 | $106.06 | $36.79 – $407.34 |
| 11 | Cigna cigna lifesource facility · percent of total billed charges · outpatientfrom % of charges | $68.40 | $108.97 | $37.80 – $418.50 |
| 12 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $72.20 | $115.02 | $39.90 – $441.75 |
| 13 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $76.00 | $121.08 | $42.00 – $465.00 |
| 14 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $76.00 | $121.08 | $42.00 – $465.00 |
| 15 | Kaiser kaiser permanente facility · percent of total billed charges · outpatientfrom % of charges | $91.20 | $145.29 | $50.40 – $558.00 |
| 16 | Humana humana choice care facility · percent of total billed charges · inpatientfrom % of charges | $121.60 | $193.72 | $67.20 – $744.00 |
| 17 | Humana humana choice care facility · percent of total billed charges · outpatientfrom % of charges | $121.60 | $193.72 | $67.20 – $744.00 |
| 18 | Optum optum urn-cancer resource services facility · other · outpatient | $121.60 | $193.72 | $67.20 – $744.00 |
| 19 | Optum optum urn-transplant commercial facility · other · outpatient | $121.60 | $193.72 | $67.20 – $744.00 |
| 20 | Aetna aetna hmo facility · percent of total billed charges · inpatientfrom % of charges | $152.00 | $242.15 | $84.00 – $930.00 |
| 21 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $152.00 | $242.15 | $84.00 – $930.00 |
| 22 | Clover clover health plan facility · other · outpatient | $152.00 | $242.15 | $84.00 – $930.00 |
| 23 | Highmark highmark medicare advantage facility · other · outpatient | $152.00 | $242.15 | $84.00 – $930.00 |
| 24 | Humana humana medicare facility · other · outpatient | $152.00 | $242.15 | $84.00 – $930.00 |
| 25 | Kaiser kaiser transplant medicaid facility · case rate · inpatient | $152.00 | $242.15 | $84.00 – $930.00 |
Last updated: Feb 10, 2026
See Gadoterate meglumine contrast, 15 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.