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
KIT FOR THE PREPARATION OF GA-68-DOTATATE 40 MCG INTRAVENOUS SOLN
Low
$3
Average
$1.5k
Median
$100
High
$54.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
312 hospitals; the 90th percentile is 84.0× 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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575 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 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 2 | $274 | $274 | $100 | 37% | 46 | $173 – $374 |
| 2 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $10.3k | $10.6k | $3.2k | 30% | 15 | $6.5k – $15.2k |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 2 | $52 | $52 | $5 | 9% | 2–20 | $47 – $57 |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $68 | $68 | $12 | 17% | 2–20 | $57 – $80 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $173 | — | — | 1–10 | $173 – $173 |
| 6 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 7 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · inpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 8 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | 1–10 | $56 – $56 |
| 9 | Norton Hospitals INC Louisville, KY other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 10 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $62 | $52 | $15 | 29% | 1–10 | $31 – $63 |
| 11 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $111 | $163 | $76 | 47% | 1–10 | $107 – $271 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $89 | $95 | $40 | 42% | — | $50 – $147 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $215 | $215 | $35 | 16% | — | $180 – $250 |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $178 | $178 | $62 | 35% | — | $103 – $254 |
| 18 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $51 | $55 | $6 | 12% | — | $50 – $64 |
| 19 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 20 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $60 | $60 | — | — | — | $60 – $60 |
| 21 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 4 | $132 | $136 | $19 | 14% | — | $119 – $162 |
| 22 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $211 | $211 | $161 | 76% | — | $51 – $372 |
| 24 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $211 | $211 | $161 | 76% | — | $51 – $372 |
| 25 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $74 | $74 | $25 | 33% | — | $50 – $99 |
← Payers reporting HCPCS A9587 · Snapshot 20261111T120946Z-9134e7f7