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 Devoted 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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69 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 1 | $80.93 | $4.98 – $795.18 |
| 2 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $180.12 | $0.22 – $6,682 |
| 3 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $69.52 | $0.22 – $2,871 |
| 4 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $180.12 | $0.22 – $6,682 |
| 5 | Ascension Seton Luling, TX percent of total billed charges · outpatientfrom % of charges | 2 | $71.45 | $0.43 – $3,158 |
| 6 | Ascension Seton Burnet, TX percent of total billed charges · outpatientfrom % of charges | 2 | $70.68 | $0.23 – $3,158 |
| 7 | Ascension Seton Smithville, TX percent of total billed charges · inpatientfrom % of charges | 1 | $24.10 | $0.03 – $362.97 |
| 8 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 1 | $190.64 | $0.22 – $2,871 |
| 9 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $408.79 | $3.92 – $2,871 |
| 10 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 1 | $357.18 | $0.22 – $6,682 |
| 11 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $180.12 | $0.22 – $6,682 |
| 12 | Ascension Seton Rock, TX percent of total billed charges · outpatientfrom % of charges | 1 | $418.28 | $0.22 – $5,576 |
| 13 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.01 | $1.01 – $1.01 |
| 14 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $75.66 | $36.89 – $266.91 |
| 15 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $75.66 | $36.89 – $266.91 |
| 16 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $19.69 | $8.44 – $53.04 |
| 17 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $537.63 | $2.82 – $6,552 |
| 18 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $537.63 | $2.82 – $6,552 |
| 19 | Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient | 1 | $10.30 | $10.30 – $10.30 |
| 20 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $185.75 | $0.40 – $1,584 |
| 21 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $185.75 | $0.40 – $1,584 |
| 22 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $2.36 | $0.08 – $41.96 |
| 23 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $36.45 | $4.26 – $72.83 |
| 24 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $50.63 | $0.15 – $528.35 |
| 25 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 2 | $24.43 | $0.25 – $204.00 |
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