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
Illuccix Ga-68 Gozetotide, per Mci
Low
$282
Average
$1.1k
Median
$487
High
$9.8k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
88 hospitals; the 90th percentile is 7.6× 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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92 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $726 | $726 | $214 | 30% | 68 | $512 – $940 |
| 2 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $975 | $975 | — | — | 53 | $975 – $975 |
| 3 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $785 | $785 | $273 | 35% | 27 | $512 – $1.1k |
| 4 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $469 | $469 | — | — | 1–10 | $469 – $469 |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $469 | $469 | — | — | 1–10 | $469 – $469 |
| 6 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $469 | $469 | — | — | 1–10 | $469 – $469 |
| 7 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $469 | $469 | — | — | 1–10 | $469 – $469 |
| 8 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $512 | $512 | — | — | — | $512 – $512 |
| 10 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $455 | $455 | — | — | — | $455 – $455 |
| 11 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $455 | $455 | — | — | — | $455 – $455 |
| 12 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $512 | $512 | — | — | — | $512 – $512 |
| 13 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $512 | $512 | — | — | — | $512 – $512 |
| 14 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $512 | $512 | — | — | — | $512 – $512 |
| 15 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $512 | $512 | — | — | — | $512 – $512 |
| 16 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $974 | $974 | — | — | — | $974 – $974 |
| 18 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 20 | Hackettstown Medical Center Hackettstown, NJ other · both | 2 | $512 | $512 | — | — | — | $512 – $512 |
| 21 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $512 | $512 | — | — | — | $512 – $512 |
| 22 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 25 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $455 | $455 | — | — | — | $455 – $455 |
← Payers reporting HCPCS A9596 · Snapshot 20261111T120946Z-9134e7f7