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 Caresource 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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110 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Arkansas Childrens Hospital Little Rock, AR facility · per diem · inpatient | 1 | $4,403 | $4,403 – $4,403 |
| 2 | Arkansas Childrens Northwest Springdale, AR facility · per diem · inpatient | 1 | $3,402 | $3,402 – $3,402 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 1 | $415.96 | $1.91 – $3,498 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 1 | $462.18 | $2.12 – $3,886 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 1 | $415.96 | $1.91 – $3,498 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 1 | $415.96 | $1.91 – $3,498 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 1 | $415.96 | $1.91 – $3,498 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 1 | $415.96 | $1.91 – $3,498 |
| 9 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $78.96 | $49.81 – $130.46 |
| 10 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $79.99 | $50.96 – $130.46 |
| 11 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 3 | $83.40 | $0.26 – $312.80 |
| 12 | Coffee Regional Medical Center, Inc Douglas, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.75 | $0.40 – $46.09 |
| 13 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $0.28 | $0.08 – $1.02 |
| 14 | Columbus Regional Hospital Columbus, IN per diem · both | 2 | $435.05 | $435.05 – $435.05 |
| 15 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21.53 | $1.36 – $64.10 |
| 16 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $366.05 | $9.96 – $2,681 |
| 17 | East Georgia Regional Medical Center LLC Statesboro, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.33 | $0.02 – $31.12 |
| 18 | Evans Memorial Hospital Claxton, GA percent of total billed charges · outpatientfrom % of charges | 1 | $33.73 | $6.96 – $77.30 |
| 19 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $59.17 | $6.01 – $281.25 |
| 20 | Highland District Hospital Hillsboro, OH fee schedule · outpatient | 1 | $16.16 | $16.16 – $16.16 |
| 21 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 3 | $441.53 | $0.45 – $2,738 |
| 22 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 3 | $441.54 | $0.45 – $2,738 |
| 23 | Indiana University Health Bedford Inc. Bedford, IN fee schedule · outpatient | 2 | $435.05 | $435.05 – $435.05 |
| 24 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 3 | $441.53 | $0.45 – $2,738 |
| 25 | Indiana University Health Frankfort Inc. Frankfort, IN fee schedule · outpatient | 2 | $435.05 | $435.05 – $435.05 |
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