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 [124929]
Geneva, OH
See all hospitals reporting HCPCS A9575 →Price type
University Hospitals Health System’s median price of $30 is 6123% 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: 13 payers, 34 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 | Medical Mutual medflex commercial facility · fee schedule · outpatient | $0.36 | $0.36 | $0.36 – $0.36 |
| 2 | Medical Mutual supermed commercial facility · fee schedule · outpatient | $0.39 | $0.39 | $0.39 – $0.39 |
| 3 | Medical Mutual nas commercial facility · fee schedule · outpatient | $0.43 | $0.43 | $0.43 – $0.43 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 5 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 6 | Cigna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 7 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 8 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 9 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 10 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 11 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 12 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.94 | $12.22 | $0.02 – $31.81 |
| 13 | Ambetter commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.28 | $22.00 | $0.04 – $57.26 |
| 14 | Caresource marketplace facility · percent of total billed charges · outpatientfrom % of charges | $23.28 | $22.00 | $0.04 – $57.26 |
| 15 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $35.90 | $33.92 | $0.06 – $88.27 |
| 16 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $35.90 | $33.92 | $0.06 – $88.27 |
| 17 | Cigna oap commercial facility · percent of total billed charges · outpatientfrom % of charges | $38.61 | $36.49 | $0.06 – $94.95 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $43.14 | $40.77 | $0.07 – $106.09 |
| 19 | Medical Mutual traditional/health ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $45.28 | $42.79 | $0.07 – $111.34 |
| 20 | Medical Mutual traditional/health ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $45.28 | $42.79 | $0.07 – $111.34 |
| 21 | Medical Mutual medflex commercial facility · percent of total billed charges · inpatientfrom % of charges | $52.20 | $49.32 | $0.08 – $128.35 |
| 22 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $53.68 | $50.73 | $0.08 – $132.01 |
| 23 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $53.68 | $50.73 | $0.08 – $132.01 |
| 24 | Anthem tiered/pathway commercial facility · percent of total billed charges · outpatientfrom % of charges | $55.24 | $52.20 | $0.09 – $135.83 |
| 25 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $55.24 | $52.20 | $0.09 – $135.83 |
Last updated: Jul 14, 2026
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