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 Cigna 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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1,212 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $140.74 | $15.65 – $324.87 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $919.61 | $919.61 – $919.61 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1,061 | $1,061 – $1,061 |
| 4 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $135.40 | $25.14 – $426.87 |
| 5 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $141.94 | $30.08 – $232.60 |
| 6 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $313.62 | $12.17 – $1,041 |
| 7 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $144.61 | $5.83 – $498.14 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45.43 | $35.08 – $55.77 |
| 9 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $348.68 | $0.02 – $925.14 |
| 10 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.59 | $0.69 – $25.02 |
| 11 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $9.81 | $9.81 – $9.81 |
| 12 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $774.30 | $42.08 – $12,004 |
| 13 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $774.30 | $42.08 – $12,004 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · inpatientfrom % of charges | 1 | $16.70 | $0.08 – $207.67 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $16.70 | $0.08 – $207.67 |
| 16 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $208.13 | $91.59 – $327.20 |
| 17 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25.11 | $14.41 – $38.02 |
| 18 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $867.71 | $1.55 – $3,400 |
| 19 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14.25 | $14.25 – $14.25 |
| 20 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $867.71 | $1.55 – $3,400 |
| 21 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 3 | $85.88 | $0.37 – $2,089 |
| 22 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $85.88 | $0.37 – $2,089 |
| 23 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16.10 | $16.10 – $16.10 |
| 24 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.80 | $10.80 – $10.80 |
| 25 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 10 | $71.90 | $2.57 – $914.00 |
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