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
$1
Average
$6.3k
Median
$264
High
$24.0k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 81.8× 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.
Filter by billing methodology
Filter by billing class
12 hospital rates
iThe hospitals that file a Medicaid 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $358 | $358 | — | — | — | $358 – $358 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 3 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $24.0k | $24.0k | $1.1k | 5% | — | $22.9k – $25.2k |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $321 | $321 | — | — | — | $321 – $321 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 6 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 7 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 8 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 9 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 10 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 11 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 12 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS A9513 · Snapshot 20261111T120946Z-9134e7f7