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
fluciclovine F18 10 mCi (370 MBq) Soln 1 Each VIAL
Low
$262
Average
$5.4k
Median
$957
High
$26.9k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 78.1× 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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107 hospital rates
iThe hospitals that file a Medica 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 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 4 | $1.1k | $1.1k | $31 | 3% | — | $1.1k – $1.2k |
| 3 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 4 | $1.1k | $1.1k | $31 | 3% | — | $1.1k – $1.2k |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 4 | $1.1k | $1.1k | $31 | 3% | — | $1.1k – $1.2k |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $1.1k | $1.1k | $31 | 3% | — | $1.1k – $1.2k |
| 10 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 4 | $1.1k | $1.1k | $31 | 3% | — | $1.1k – $1.2k |
| 12 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $269 | $323 | $152 | 47% | — | $192 – $564 |
| 13 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $269 | $323 | $152 | 47% | — | $192 – $564 |
| 14 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 15 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $666 | $666 | $42 | 6% | — | $623 – $708 |
| 17 | Barnes Jewish Hospital St. Louis, MO other · both | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 18 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 20 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 21 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $26.9k | $26.9k | — | — | — | $26.9k – $26.9k |
| 22 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $419 | $419 | $24 | 6% | — | $396 – $443 |
| 23 | Central Iowa Hospital Corporation West Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $330 | $330 | $19 | 6% | — | $311 – $349 |
| 24 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 25 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $952 | $952 | — | — | — | $952 – $952 |
← Payers reporting HCPCS A9588 · Snapshot 20261111T120946Z-9134e7f7