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
$1
Average
$1.1k
Median
$48
High
$6.9k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 4269.2× 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.
Filter by billing methodology
Filter by billing class
28 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 | $94 | $94 | — | — | — | $94 – $94 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 3 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 6 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $59 | $59 | $13 | 22% | — | $46 – $72 |
| 14 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $59 | $59 | $13 | 22% | — | $46 – $72 |
| 15 | Mercy Hospital Jefferson Imperial, MO facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 16 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 17 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 18 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 20 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 21 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 22 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 24 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS A9587 · Snapshot 20261111T120946Z-9134e7f7