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 Bcbs Ca 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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11 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $14.45 | $8.29 – $21.89 |
| 2 | Banner Lassen Medical Center Susanville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.95 | $1.95 – $1.95 |
| 3 | Banner Lassen Medical Center Susanville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.95 | $1.95 – $1.95 |
| 4 | Childrens Hospital of Orange County - Profit Orange, CA facility · fee schedule · outpatient | 1 | $0.17 | $0.17 – $0.17 |
| 5 | Childrens Hospital of Orange County - Profit Orange, CA facility · other · outpatient | 5 | $89.86 | $2.65 – $486.26 |
| 6 | Childrens Hospital of Orange County - Profit Orange, CA facility · per diem · outpatient | 1 | $96.49 | $3.60 – $426.37 |
| 7 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $79.45 | $2.96 – $351.06 |
| 8 | Hayward Sisters Hospital Hayward, CA facility · other · outpatient | 3 | $0.54 | $0.36 – $0.90 |
| 9 | Oroville Hospital Oroville, CA percent of total billed charges · outpatientfrom % of charges | 1 | $314.33 | $270.00 – $374.00 |
| 10 | Salinas Valley Memorial Healthcare System SALINAS, CA percent of total billed charges · inpatientfrom % of charges | 1 | $1,060 | $308.17 – $3,279 |
| 11 | Salinas Valley Memorial Healthcare System SALINAS, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1,060 | $308.17 – $3,279 |
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