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
KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION
Low
$155
Average
$3.5k
Median
$1.2k
High
$54.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 13.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 543 | $843 | $1.2k | $4.9k | 419% | 1–10 | $1 – $147.6k |
| 2 | Aetna fee schedule · outpatient · +20 other terms | 343 | $394 | $1.1k | $1.4k | 134% | — | $1 – $18.1k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 271 | $1.2k | $1.7k | $1.6k | 95% | — | $1 – $18.1k |
| 4 | Cigna fee schedule · outpatient · +17 other terms | 269 | $1.2k | $2.2k | $5.1k | 231% | — | $100 – $78.5k |
| 5 | Humana fee schedule · outpatient · +20 other terms | 225 | $389 | $858 | $1.6k | 191% | — | $1 – $18.1k |
| 6 | WellCare fee schedule · outpatient · +7 other terms | 115 | $381 | $671 | $469 | 70% | — | $338 – $2.0k |
| 7 | Molina fee schedule · outpatient · +13 other terms | 105 | $611 | $667 | $290 | 44% | — | $1 – $1.9k |
| 8 | Anthem fee schedule · outpatient · +18 other terms | 97 | $906 | $1.0k | $582 | 57% | — | $350 – $3.8k |
| 9 | Devoted fee schedule · outpatient · +6 other terms | 64 | $381 | $500 | $247 | 49% | — | $330 – $968 |
| 10 | Kaiser fee schedule · outpatient · +5 other terms | 55 | $453 | $936 | $1.2k | 132% | — | $290 – $6.9k |
| 11 | Ambetter facility · fee schedule · outpatient · +6 other terms | 51 | $653 | $1.1k | $661 | 60% | — | $381 – $2.2k |
| 12 | Optum fee schedule · outpatient · +10 other terms | 41 | $363 | $1.4k | $1.6k | 119% | — | $322 – $5.9k |
| 13 | Caresource fee schedule · outpatient · +6 other terms | 36 | $560 | $570 | $161 | 28% | — | $1 – $891 |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $3.1k | $2.8k | $1.2k | 44% | — | $820 – $5.4k |
| 15 | Oscar facility · fee schedule · outpatient · +8 other terms | 25 | $616 | $691 | $286 | 41% | — | $479 – $1.6k |
| 16 | Clover fee schedule · outpatient · +2 other terms | 24 | $690 | $642 | $298 | 46% | — | $343 – $1.0k |
| 17 | Medicare fee schedule · outpatient · +7 other terms | 24 | $355 | $357 | $11 | 3% | — | $346 – $396 |
| 18 | MultiPlan fee schedule · outpatient · +11 other terms | 21 | $1.5k | $2.1k | $1.5k | 70% | — | $873 – $5.4k |
| 19 | Regence facility · fee schedule · outpatient · +5 other terms | 21 | $384 | $657 | $552 | 84% | — | $324 – $2.1k |
| 20 | Highmark fee schedule · outpatient · +6 other terms | 16 | $1.1k | $1.1k | $427 | 38% | — | $363 – $2.3k |
| 21 | Medica fee schedule · both · +12 other terms | 15 | $1.7k | $1.3k | $673 | 52% | — | $363 – $2.0k |
| 22 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $363 | $481 | $251 | 52% | — | $197 – $1.4k |
| 23 | Bcbs Mn fee schedule · outpatient · +7 other terms | 13 | $390 | $751 | $658 | 88% | — | $390 – $3.2k |
| 24 | Phcs percent of total billed charges · bothfrom % of charges · +4 other terms | 13 | $2.6k | $33.1k | $54.7k | 165% | — | $2.6k – $135.1k |
| 25 | Wellmark fee schedule · both · +3 other terms | 13 | $824 | $828 | $26 | 3% | — | $824 – $989 |
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