RC 255
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.
Generation details were not recorded for this description.
Original text from hospital filings
GADOBUTROL 1 MMOL/ML IV SOLN
The hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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1,481 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $0.42 | $0.18 – $1.97 |
| 2 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $91.54 | $91.54 – $91.54 |
| 3 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $90.25 | $11.12 – $555.03 |
| 4 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $131.41 | $3.96 – $383.22 |
| 5 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $77.88 | $11.12 – $555.03 |
| 6 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $290.50 | $25.97 – $555.03 |
| 7 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $219.41 | $25.97 – $555.03 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $49.68 | $32.89 – $69.71 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $31.49 | $9.56 – $48.80 |
| 10 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $348.68 | $0.02 – $925.14 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · inpatient | 2 | $366.17 | $265.84 – $481.03 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $366.17 | $265.84 – $481.03 |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $29.40 | $0.13 – $288.96 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37.22 | $0.06 – $346.71 |
| 15 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · bothfrom % of charges | 1 | $519.64 | $233.20 – $844.80 |
| 16 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $141.72 | $63.60 – $230.40 |
| 17 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · bothfrom % of charges | 1 | $555.76 | $233.20 – $844.80 |
| 18 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $132.62 | $55.65 – $201.60 |
| 19 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · bothfrom % of charges | 1 | $442.64 | $117.92 – $794.64 |
| 20 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $130.78 | $34.84 – $234.78 |
| 21 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · bothfrom % of charges | 1 | $444.94 | $222.00 – $677.25 |
| 22 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $361.32 | $92.86 – $803.88 |
| 23 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6.22 | $0.30 – $25.41 |
| 24 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $313.41 | $17.03 – $4,859 |
| 25 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 2 | $12.91 | $0.07 – $160.49 |
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