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
HC Gallium Ga-68 Gozetotide (Gozellix,) Diagnostic, 1 Millicurie
Low
$1.1k
Average
$2.3k
Median
$2.1k
High
$15.9k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 2.0× 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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66 hospital rates
iThe hospitals that file a Ambetter 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 4 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $15.9k | $15.9k | — | — | — | $15.9k – $15.9k |
| 6 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 11 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 12 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 19 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 20 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 21 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 22 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 24 | Jefferson County HMA LLC Jefferson City, TN facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Payers reporting HCPCS A9616 · Snapshot 20261111T120946Z-9134e7f7