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
$3.9k
Median
$169
High
$14.7k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 176.2× 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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89 hospital rates
iThe hospitals that file a Medical Mutual 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 4 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 8 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 9 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 10 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $5.5k | $5.5k | $1.1k | 21% | — | $4.3k – $6.6k |
| 11 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $5.5k | $5.5k | $1.1k | 21% | — | $4.3k – $6.6k |
| 12 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 14 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 15 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 16 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $147 | $147 | $41 | 28% | — | $106 – $188 |
| 17 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $121 | $127 | $39 | 31% | — | $77 – $188 |
| 18 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $112 | $120 | $40 | 34% | — | $67 – $188 |
| 19 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $190 | $190 | $1 | 1% | — | $189 – $192 |
| 20 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $190 | $190 | $1 | 1% | — | $189 – $192 |
| 21 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $188 | $188 | $0 | 0% | — | $188 – $189 |
| 22 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 24 | Mercy Medical Center - Dubuque Dubuque, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 25 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
← Payers reporting HCPCS A9587 · Snapshot 20261111T120946Z-9134e7f7