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
$4.1k
Median
$3.6k
High
$16.4k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
68 hospitals; the 90th percentile is 170.3× 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
97 hospital rates
iThe hospitals that file a Regence 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $6.7k | $7.2k | $1.3k | 19% | 87 | $6.1k – $9.3k |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 6 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 7 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $16.3k | $16.3k | — | — | — | $16.3k – $16.3k |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 10 | 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 |
| 11 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 12 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $8.1k | $8.0k | $586 | 7% | — | $7.1k – $8.7k |
| 13 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8.1k | $8.0k | $676 | 8% | — | $7.1k – $8.7k |
| 14 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · percent of total billed charges · inpatientfrom % of charges | 5 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 16 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 17 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 18 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5.7k | $5.7k | $2.9k | 50% | — | $2.8k – $8.6k |
| 19 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · inpatientfrom % of charges | 6 | $8.1k | $7.9k | $586 | 7% | — | $7.1k – $8.7k |
| 22 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $7.1k | $7.5k | $875 | 12% | — | $6.2k – $8.7k |
| 23 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 24 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $8.1k | $8.0k | $586 | 7% | — | $7.1k – $8.7k |
| 25 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8.1k | $8.0k | $676 | 8% | — | $7.1k – $8.7k |
← Payers reporting HCPCS A9587 · Snapshot 20261111T120946Z-9134e7f7