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
gallium Ga-68 gozetotide 18.5 MBq to 185 MBq/mL Soln 1 Each VIAL
Low
$364
Average
$652
Median
$705
High
$885
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 2.2× 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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33 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $769 | $769 | $70 | 9% | — | $684 – $855 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $713 | $681 | $172 | 25% | — | $240 – $855 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $816 | $816 | — | — | — | $816 – $816 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $630 | $625 | $191 | 31% | — | $365 – $872 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $769 | $769 | $70 | 9% | — | $684 – $855 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $696 | $676 | $171 | 25% | — | $240 – $855 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $494 | $548 | $194 | 35% | — | $368 – $836 |
| 8 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 9 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $816 | $816 | — | — | — | $816 – $816 |
| 10 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 4 | $823 | $823 | $46 | 6% | — | $777 – $868 |
| 11 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 12 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $769 | $769 | $70 | 9% | — | $684 – $855 |
| 13 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $769 | $705 | $173 | 25% | — | $298 – $892 |
| 14 | Highland Hospital Rochester, NY fee schedule · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 15 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 16 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $769 | $769 | $70 | 9% | — | $684 – $855 |
| 17 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $684 | $663 | $174 | 26% | — | $203 – $855 |
| 18 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 4 | $659 | $670 | $231 | 34% | — | $364 – $998 |
| 19 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient | 11 | $769 | $769 | $70 | 9% | — | $684 – $855 |
| 20 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $684 | $666 | $172 | 26% | — | $215 – $855 |
| 21 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $580 | $580 | $217 | 37% | — | $364 – $797 |
| 22 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 23 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $885 | $885 | $80 | 9% | — | $786 – $983 |
| 24 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · inpatient | 11 | $769 | $769 | $70 | 9% | — | $684 – $855 |
| 25 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · outpatient | 19 | $693 | $682 | $171 | 25% | — | $240 – $855 |
← Payers reporting HCPCS A9594 · Snapshot 20261111T120946Z-9134e7f7