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
$5
Average
$507
Median
$49
High
$16.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 7.7× 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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84 hospital rates
iThe hospitals that file a Tricare 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 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $49 | $49 | — | — | 54 | $49 – $49 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $49 | $49 | — | — | 54 | $49 – $49 |
| 3 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 6 | Boston Medical Center Boston, MA other · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 9 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 10 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 12 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 13 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 14 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 15 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 16 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 17 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 20 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 21 | Hackettstown Medical Center Hackettstown, NJ other · both | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 22 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $16.5k | $16.5k | — | — | — | $16.5k – $16.5k |
| 24 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
| 25 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
← Payers reporting HCPCS A9587 · Snapshot 20261111T120946Z-9134e7f7