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 WellCare 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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192 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $101.39 | $45.50 – $164.83 |
| 2 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $95.68 | $40.15 – $145.44 |
| 3 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $101.10 | $26.80 – $182.41 |
| 4 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $570.75 | $442.50 – $699.00 |
| 5 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $10.00 | $10.00 – $10.00 |
| 6 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $394.25 | $21.43 – $6,112 |
| 7 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · inpatientfrom % of charges | 1 | $123.07 | $72.75 – $144.65 |
| 8 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $123.07 | $72.75 – $144.65 |
| 9 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $87.48 | $29.24 – $117.10 |
| 10 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $934.00 | $934.00 – $934.00 |
| 11 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $141.58 | $1.75 – $290.00 |
| 12 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $127.06 | $69.08 – $193.92 |
| 13 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $143.28 | $33.50 – $290.00 |
| 14 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · outpatientfrom % of charges | 1 | $134.09 | $15.87 – $220.80 |
| 15 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $105.51 | $1.68 – $216.72 |
| 16 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $154.47 | $68.90 – $249.60 |
| 17 | Arkansas Childrens Hospital Little Rock, AR facility · per diem · inpatient | 1 | $3,706 | $3,706 – $3,706 |
| 18 | Arkansas Childrens Northwest Springdale, AR facility · per diem · inpatient | 1 | $3,706 | $3,706 – $3,706 |
| 19 | Ascension Seton Luling, TX percent of total billed charges · outpatientfrom % of charges | 1 | $25.61 | $0.43 – $689.65 |
| 20 | Ascension Seton Burnet, TX percent of total billed charges · outpatientfrom % of charges | 1 | $18.38 | $0.23 – $471.87 |
| 21 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 1 | $24.10 | $0.03 – $362.97 |
| 22 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $51.08 | $0.65 – $827.28 |
| 23 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $40.81 | $0.52 – $661.02 |
| 24 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $54.13 | $0.69 – $876.76 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $20.80 | $0.10 – $174.88 |
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