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 Ambetter 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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178 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $313.41 | $17.03 – $4,859 |
| 2 | Ascension Cedar Park Park, TX percent of total billed charges · bothfrom % of charges | 1 | $13.02 | $0.80 – $127.96 |
| 3 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 1 | $13.02 | $0.80 – $127.96 |
| 4 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $28.99 | $0.04 – $1,075 |
| 5 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $28.99 | $0.04 – $1,075 |
| 6 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $11.19 | $0.04 – $461.96 |
| 7 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $11.19 | $0.04 – $461.96 |
| 8 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $28.99 | $0.04 – $1,075 |
| 9 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $28.99 | $0.04 – $1,075 |
| 10 | Ascension Seton Luling, TX percent of total billed charges · bothfrom % of charges | 1 | $18.87 | $0.32 – $508.17 |
| 11 | Ascension Seton Luling, TX percent of total billed charges · outpatientfrom % of charges | 2 | $30.33 | $0.32 – $1,125 |
| 12 | Ascension Seton Burnet, TX percent of total billed charges · bothfrom % of charges | 1 | $19.79 | $0.24 – $508.17 |
| 13 | Ascension Seton Burnet, TX percent of total billed charges · outpatientfrom % of charges | 2 | $25.45 | $0.24 – $798.54 |
| 14 | Ascension Seton Smithville, TX other · outpatient | 1 | $4,851 | $4,851 – $4,851 |
| 15 | Ascension Seton Smithville, TX percent of total billed charges · bothfrom % of charges | 1 | $30.68 | $0.04 – $461.96 |
| 16 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 1 | $30.68 | $0.04 – $461.96 |
| 17 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $65.78 | $0.63 – $461.96 |
| 18 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $65.78 | $0.63 – $461.96 |
| 19 | Ascension Seton Bastrop, TX percent of total billed charges · bothfrom % of charges | 1 | $57.48 | $0.04 – $1,075 |
| 20 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 1 | $57.48 | $0.04 – $1,075 |
| 21 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $28.99 | $0.04 – $1,075 |
| 22 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $28.99 | $0.04 – $1,075 |
| 23 | Ascension Seton Rock, TX percent of total billed charges · bothfrom % of charges | 1 | $67.31 | $0.04 – $897.26 |
| 24 | Ascension Seton Rock, TX percent of total billed charges · outpatientfrom % of charges | 1 | $67.31 | $0.04 – $897.26 |
| 25 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $121.19 | $1.44 – $2,088 |
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