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 Kaiser 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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221 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 8 | $152.60 | $0.68 – $1,429 |
| 2 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $661.19 | $10.24 – $4,208 |
| 3 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0.92 | $0.92 – $0.92 |
| 4 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $13.08 | $0.22 – $41.70 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $49.72 | $28.16 – $71.28 |
| 6 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $108.37 | $12.02 – $620.90 |
| 7 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $45.46 | $20.20 – $168.15 |
| 8 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $310.63 | $84.18 – $1,549 |
| 9 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $92.26 | $25.42 – $207.70 |
| 10 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $92.26 | $25.42 – $207.70 |
| 11 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $52.59 | $0.70 – $222.52 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $244.52 | $2.63 – $10,022 |
| 13 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $244.52 | $2.63 – $10,022 |
| 14 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $186.69 | $12.15 – $1,013 |
| 15 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $104.86 | $78.98 – $130.73 |
| 16 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $104.86 | $78.98 – $130.73 |
| 17 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $142.25 | $0.68 – $313.21 |
| 18 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $9.86 | $0.31 – $91.06 |
| 19 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9.15 | $0.26 – $91.06 |
| 20 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $16.68 | $0.56 – $144.94 |
| 21 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $13.61 | $0.40 – $133.01 |
| 22 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 3 | $115.22 | $7.19 – $1,198 |
| 23 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $115.22 | $7.19 – $1,198 |
| 24 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20.14 | $1.40 – $79.69 |
| 25 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 1 | $24.64 | $1.71 – $97.47 |
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