What does code A9575 cost?

Across the published hospital price files, the disclosed cash price for A9575 ranges from $0.37 to $417. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

A9575 is the billing code hospitals use to identify "DOTAREM 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

A9575

HCPCS

DOTAREM 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A9575 (DOTAREM 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION) appears at 16 hospitals with disclosed cash prices from $0.37 to $417. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare A9575 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code A9575 vary by about 1126× across the 15 hospitals with disclosed prices here — from $0.37 to $417. Shopping around can matter.

Hospitals

Prices shown

$0.37

Lowest cash

$417

Highest cash

code A9575 cash price34 disclosed · 15 hospitals

$0.37median ~$6.34$417

Lowest cash price by hospital

Munson Healthcare Charlevoix Hospital$0.37
Munson Healthcare Manistee Hospital$0.37
Kalkaska Memorial Health Center$0.37
Munson Healthcare Cadillac$0.37
Paul Oliver Memorial Hospital$2.04
Endeavor Health Edward Hospital$6.00

Cash price by city

Reflects your current filters.

Cash price by city$0.37 – $32.30

Charlevoix · 1 hospital$0.37
Manistee · 1 hospital$0.37–$32.30
Kalkaska · 1 hospital$0.37–$1.28
Cadillac · 1 hospital$0.37
Frankfort · 1 hospital$2.04
Naperville · 1 hospital$6.00–$6.18

41 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
DOTAREM 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION Inpatient	Carle Foundation Hospital	A9575 HCPCS	$417	$417	$0.13 – $275	—
Dotarem: 10 Vial In 1 Package (67684-2001-1) / 10 Ml In 1 Vial Inpatient & outpatient	Endeavor Health Edward Hospital	A9575 HCPCS	$6.18	$6.18	—	—
Dotarem: 10 Vial In 1 Package (67684-2001-2) / 15 Ml In 1 Vial Inpatient & outpatient	Endeavor Health Edward Hospital	A9575 HCPCS	$6.18	$6.18	—	—
Dotarem: 10 Vial In 1 Package (67684-2001-3) / 20 Ml In 1 Vial Inpatient & outpatient	Endeavor Health Edward Hospital	A9575 HCPCS	$6.18	$6.18	—	—
HC DOTAREM 0.1 ML Inpatient & outpatient	Endeavor Health Edward Hospital	A9575 HCPCS	$6.00	$6.00	—	—
Inj gadoterate meglumi 0.1ml Outpatient	Endeavor Health Edward Hospital	A9575 HCPCS	—	—	$1.10 – $1.10	—
DOTAREM 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION Inpatient	Methodist Medical Center of Illinois	A9575 HCPCS	$417	$417	$0.13 – $275	—
Dotarem: 10 Vial In 1 Package (67684-2000-3) / 20 Ml In 1 Vial Inpatient & outpatient	University of Chicago Medical Center	A9575 HCPCS	—	—	—	—
Hc Dotarem 376Mg. 1-5Ml Inpatient & outpatient	University of Chicago Medical Center	A9575 HCPCS	—	—	—	—
Hc Dotarem 376Mg. 11-15Ml Inpatient & outpatient	University of Chicago Medical Center	A9575 HCPCS	—	—	—	—
Hc Dotarem 376Mg. 16-20Ml Inpatient & outpatient	University of Chicago Medical Center	A9575 HCPCS	—	—	—	—
Hc Dotarem 376Mg. 6-10Ml Inpatient & outpatient	University of Chicago Medical Center	A9575 HCPCS	—	—	—	—
Inj gadoterate meglumi 0.1ml Outpatient	University of Chicago Medical Center	A9575 HCPCS	—	—	—	—
DOTAREM 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION Inpatient	Carle BroMenn Medical Center	A9575 HCPCS	$417	$417	$0.13 – $275	—
GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN Inpatient	Deaconess Gateway Hospital	A9575 HCPCS	$243	$80.19	$80.19 – $214	—
Inj Gadoterate Meglumi 0.1 ml (PC-2600) Inpatient	Munson Healthcare Charlevoix Hospital	A9575 HCPCS	$0.43	$0.37	$0.34 – $0.43	—
Bones, ABCs Fall Injury Risk Screening Inpatient	Munson Healthcare Charlevoix Hospital	A9575 HCPCS	$0.43	$0.37	$0.34 – $0.43	—
CLARISCAN, per 0.10 ml, total admin & discard SP Inpatient	Munson Healthcare Charlevoix Hospital	A9575 HCPCS	$0.43	$0.37	$0.34 – $0.43	—
CLARISCAN, per 0.10 ml, total admin & discard Inpatient	Munson Healthcare Charlevoix Hospital	A9575 HCPCS	$0.43	$0.37	$0.34 – $0.43	—
DOTAREM, per 0.10, Total used/discard Inpatient	Munson Healthcare Charlevoix Hospital	A9575 HCPCS	$0.43	$0.37	$0.34 – $0.43	—
DOTAREM, per 0.10, total used&discarded SP Inpatient	Munson Healthcare Charlevoix Hospital	A9575 HCPCS	$0.43	$0.37	$0.34 – $0.43	—
Inj Gadoterate Meglumi 0.1 ml (PC-2600) Inpatient	Munson Healthcare Manistee Hospital	A9575 HCPCS	$38.00	$32.30	$19.06 – $852	—
CLARISCAN, per 0.10 ml, total admin & discard Inpatient	Munson Healthcare Manistee Hospital	A9575 HCPCS	$0.43	$0.37	$0.22 – $852	—
DOTAREM, per 0.10, Total used/discard Inpatient	Munson Healthcare Manistee Hospital	A9575 HCPCS	$2.50	$2.13	$1.25 – $852	—
CLARISCAN, per 0.10 ml, total admin & discard SP Inpatient	Kalkaska Memorial Health Center	A9575 HCPCS	$0.43	$0.37	$0.32 – $852	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish A9575 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Endeavor Health Edward Hospital Methodist Medical Center of Illinois University of Chicago Medical Center Carle BroMenn Medical Center Deaconess Gateway Hospital Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Kalkaska Memorial Health Center Paul Oliver Memorial Hospital Munson Healthcare Cadillac Henderson Hospital Deaconess Gibson Hospital Deaconess Illinois Medical Center Community Hospital of Bremen Healdsburg Hospital

Code A9575: frequently asked

What does code A9575 cost?: Across the published hospital price files, the disclosed cash price for A9575 ranges from $0.37 to $417. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code A9575?: A9575 is the billing code hospitals use to identify "DOTAREM 0.5 MMOL/ML (376.9 MG/ML) INTRAVENOUS SOLUTION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data