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 Oscar 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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147 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $76.20 | $6.33 – $316.08 |
| 2 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $61.45 | $2.26 – $218.24 |
| 3 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $95.12 | $6.33 – $407.42 |
| 4 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $91.24 | $3.70 – $316.08 |
| 5 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $90.85 | $3.70 – $316.08 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $20.50 | $15.83 – $25.16 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.06 | $12.40 – $19.71 |
| 8 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 2 | $51.63 | $2.40 – $630.66 |
| 9 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 2 | $114.91 | $0.10 – $5,300 |
| 10 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 2 | $44.35 | $0.10 – $2,277 |
| 11 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 2 | $114.91 | $0.10 – $5,300 |
| 12 | Ascension Seton Luling, TX percent of total billed charges · outpatientfrom % of charges | 3 | $82.23 | $0.94 – $2,613 |
| 13 | Ascension Seton Burnet, TX percent of total billed charges · outpatientfrom % of charges | 3 | $85.76 | $0.73 – $2,577 |
| 14 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 2 | $121.61 | $0.10 – $2,277 |
| 15 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 2 | $260.78 | $1.89 – $2,277 |
| 16 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 2 | $227.86 | $0.10 – $5,300 |
| 17 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 2 | $114.91 | $0.10 – $5,300 |
| 18 | Ascension Seton Rock, TX percent of total billed charges · outpatientfrom % of charges | 2 | $266.84 | $0.10 – $4,422 |
| 19 | Banner Casa Grande Medical Center Casa Grande, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.12 | $1.12 – $1.12 |
| 20 | Banner Desert Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.12 | $1.12 – $1.12 |
| 21 | Banner Estrella Medical Center Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.12 | $1.12 – $1.12 |
| 22 | Banner Gateway Medical Center Gilbert, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.12 | $1.12 – $1.12 |
| 23 | Banner Ironwood Medical Center San Tan Valley, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.12 | $1.12 – $1.12 |
| 24 | Banner Ocotillo Medical Center Chandler, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.12 | $1.12 – $1.12 |
| 25 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.52 | $1.52 – $1.52 |
← Payers reporting RC 255 · Snapshot 20261108T203506Z-bb90dbab