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
$44
Average
$536
Median
$68
High
$15.6k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
123 hospitals; the 90th percentile is 12.5× 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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155 hospital rates
iThe hospitals that file a Optum 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 | Boston Children's Hospital Boston, MA case rate · both | 1 | $1.8k | $1.8k | — | — | 11 | $1.8k – $1.8k |
| 2 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $2.7k | $2.7k | — | — | 4–40 | $2.7k – $2.7k |
| 3 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 3 | $60 | $78 | $29 | 37% | 2–20 | $54 – $118 |
| 4 | MVHS, Inc. Utica, NY other · both | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 8 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 9 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $52 | $52 | $1 | 1% | — | $51 – $52 |
| 11 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 12 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 13 | Betsy Johnson Hospital Dunn, NC facility · other · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 15 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 16 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 17 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 18 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 19 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 20 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 21 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 22 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 3 | $647 | $606 | $70 | 12% | — | $507 – $663 |
| 23 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
← Payers reporting HCPCS A9587 · Snapshot 20261111T120946Z-9134e7f7