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.
Original text from hospital filings
LUTETIUM LU 177 DOTATATE 10 MCI/ML (370 MBQ/ML) INTRAVENOUS SOLUTION
Low
$238
Average
$10.5k
Median
$356
High
$275.4k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
253 hospitals; the 90th percentile is 43.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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379 hospital rates
iThe hospitals that file a Anthem 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $123.2k | $126.8k | $38.5k | 30% | 192–201 | $78.4k – $182.6k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $575 | $615 | $259 | 42% | — | $321 – $950 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $371 | $371 | — | — | — | $371 – $371 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH fee schedule · outpatient | 1 | $886 | $886 | — | — | — | $886 – $886 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $718 | $718 | $118 | 16% | — | $601 – $836 |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $677 | $677 | $287 | 42% | — | $389 – $964 |
| 9 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $317 | $326 | $34 | 10% | — | $290 – $372 |
| 10 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $289 | $289 | — | — | — | $289 – $289 |
| 12 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 4 | $633 | $653 | $89 | 14% | — | $568 – $777 |
| 13 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 14 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 15 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 16 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $1.4k | $1.4k | $1.0k | 76% | — | $326 – $2.4k |
| 17 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $1.4k | $1.4k | $1.0k | 76% | — | $326 – $2.4k |
| 18 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $480 | $480 | $160 | 33% | — | $320 – $640 |
| 19 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $1.4k | $1.4k | $1.0k | 76% | — | $326 – $2.4k |
| 20 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 2 | $1.4k | $1.4k | $1.0k | 76% | — | $326 – $2.4k |
| 21 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 2 | $1.4k | $1.4k | $1.0k | 76% | — | $326 – $2.4k |
| 22 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 6 | $313 | $460 | $217 | 47% | — | $313 – $967 |
| 23 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 2 | $329 | $329 | $30 | 9% | — | $299 – $359 |
| 24 | Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient | 2 | $329 | $329 | $30 | 9% | — | $299 – $359 |
| 25 | Aurora Medical Center Bay Area Marinette, WI fee schedule · outpatient | 3 | $359 | $339 | $28 | 8% | — | $299 – $359 |
← Payers reporting HCPCS A9513 · Snapshot 20261111T120946Z-9134e7f7