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 Tx 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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21 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Chambers Health Anahuac, TX percent of total billed charges · outpatientfrom % of charges | 2 | $136.56 | $68.00 – $197.00 |
| 2 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX fee schedule · outpatient | 1 | $322.00 | $322.00 – $322.00 |
| 3 | Cogdell Memorial Hospital dba Cogdell Memorial Hospital Snyder, TX percent of total billed charges · outpatientfrom % of charges | 2 | $423.00 | $423.00 – $423.00 |
| 4 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $37.30 | $0.24 – $672.55 |
| 5 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $36.56 | $0.24 – $672.55 |
| 6 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $96.85 | $0.81 – $1,135 |
| 7 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $96.85 | $0.81 – $1,135 |
| 8 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 4 | $37.30 | $0.24 – $672.55 |
| 9 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $36.56 | $0.24 – $672.55 |
| 10 | Knox County Hospital District Knox City, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.27 | $2.00 – $7.00 |
| 11 | Muenster Memorial Hospital Muenster, TX percent of total billed charges · outpatientfrom % of charges | 1 | $84.75 | $7.00 – $210.00 |
| 12 | Southeast Texas - Jasper Memorial Jasper, TX fee schedule · outpatient | 5 | $14.01 | $0.84 – $62.92 |
| 13 | Southeast Texas - Jasper Memorial Jasper, TX percent of total billed charges · outpatientfrom % of charges | 5 | $110.92 | $16.72 – $464.50 |
| 14 | Spohn Hospital Beeville Beeville, TX fee schedule · outpatient | 5 | $20.70 | $0.56 – $62.84 |
| 15 | Spohn Hospital Beeville Beeville, TX percent of total billed charges · outpatientfrom % of charges | 6 | $81.66 | $0.56 – $348.65 |
| 16 | Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX fee schedule · outpatient | 5 | $22.57 | $0.47 – $358.14 |
| 17 | Spohn Hospital Corpus Christi - Shoreline Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 6 | $83.41 | $0.62 – $502.91 |
| 18 | Spohn Hospital Corpus Christi - South Corpus Christi, TX fee schedule · outpatient | 5 | $68.46 | $0.47 – $358.14 |
| 19 | Spohn Hospital Corpus Christi - South Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 6 | $88.48 | $3.10 – $472.73 |
| 20 | Spohn Hospital Corpus Christi - South Corpus Christi, TX fee schedule · outpatient | 5 | $68.46 | $0.47 – $358.14 |
| 21 | Spohn Hospital Corpus Christi - South Corpus Christi, TX percent of total billed charges · outpatientfrom % of charges | 6 | $88.48 | $3.10 – $472.73 |
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