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 Molina 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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293 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $102.39 | $45.95 – $166.46 |
| 2 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $96.63 | $40.55 – $146.88 |
| 3 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $102.61 | $27.34 – $184.21 |
| 4 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $84.72 | $42.27 – $128.95 |
| 5 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $154.23 | $39.64 – $343.13 |
| 6 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 1 | $11.04 | $0.12 – $43.46 |
| 7 | AnMed Health Anderson, SC facility · fee schedule · outpatient | 1 | $5,574 | $5,574 – $5,574 |
| 8 | AnMed Health Cannon Pickens, SC facility · fee schedule · outpatient | 1 | $44.10 | $44.10 – $44.10 |
| 9 | AnMed Piedmont Piedmont, SC facility · fee schedule · outpatient | 1 | $5,574 | $5,574 – $5,574 |
| 10 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $124.29 | $73.47 – $146.08 |
| 11 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $88.78 | $29.82 – $118.26 |
| 12 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $92.42 | $1.14 – $189.31 |
| 13 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $105.23 | $24.60 – $212.98 |
| 14 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $89.20 | $10.56 – $146.88 |
| 15 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $98.65 | $1.57 – $202.63 |
| 16 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $96.96 | $43.25 – $156.67 |
| 17 | Ascension Providence Waco, TX percent of total billed charges · bothfrom % of charges | 1 | $1.82 | $0.04 – $41.72 |
| 18 | Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.82 | $0.04 – $41.72 |
| 19 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $101.52 | $101.52 – $101.52 |
| 20 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 1 | $101.52 | $101.52 – $101.52 |
| 21 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 1 | $101.52 | $101.52 – $101.52 |
| 22 | Aurora Medical Center Burlington Burlington, WI fee schedule · outpatient | 1 | $101.52 | $101.52 – $101.52 |
| 23 | Aurora Medical Center Fond du Lac Fond Du Lac, WI fee schedule · outpatient | 1 | $101.52 | $101.52 – $101.52 |
| 24 | Aurora Medical Center Grafton Grafton, WI fee schedule · outpatient | 1 | $101.52 | $101.52 – $101.52 |
| 25 | Aurora Medical Center Kenosha Kenosha, WI fee schedule · outpatient | 1 | $101.52 | $101.52 – $101.52 |
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