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
$50
Average
$4.0k
Median
$3.2k
High
$16.4k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 223.2× 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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54 hospital rates
iThe hospitals that file a Excellus 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $61 | $86 | $35 | 41% | — | $61 – $136 |
| 4 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $50 | $50 | — | — | — | $50 – $50 |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 11 | MVHS, Inc. Utica, NY other · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 12 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $22.5k | $22.5k | — | — | — | $22.5k – $22.5k |
| 13 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 15 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 16 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 18 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 19 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 20 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 21 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 22 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 23 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 24 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 25 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $92 | $92 | $31 | 33% | — | $61 – $123 |
← Payers reporting HCPCS A9587 · Snapshot 20261111T120946Z-9134e7f7