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
COPPER CU 64 DOTATATE 1 MCI/ML IV SOLN
Low
$471
Average
$1.5k
Median
$1.8k
High
$5.0k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 5.9× 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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25 hospital rates
iThe hospitals that file a Medicaid 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 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $594 | $594 | — | — | — | $594 – $594 |
| 2 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 3 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $529 | $529 | — | — | — | $529 – $529 |
| 5 | McLeod Health Dillon, SC fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | McLeod Health Cheraw, SC fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | McLeod Health Manning, SC fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 8 | McLeod Health Florence, SC fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | McLeod Health Beach, SC fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | McLeod Health Loris, SC fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | McLeod Health River, SC fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 13 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 14 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 15 | Mercy Hospital Pittsburg Inc Pittsburg, KS facility · fee schedule · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 16 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 17 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 18 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · fee schedule · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 19 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 20 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 21 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 23 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $929 | $929 | — | — | — | $929 – $929 |
| 24 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · fee schedule · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 25 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $461 | $461 | — | — | — | $461 – $461 |
← Payers reporting HCPCS A9592 · Snapshot 20261111T120946Z-9134e7f7