NDC 69488-0017-61
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 25 MCG Kit 7 millicurie
Low
$0
Average
$1.2k
Median
$0
High
$4.7k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 9 hospitals; the 90th percentile is 432929.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI | $4.9k | $4.7k | $386 | 8% | 153–180 | $381 – $15.2k |
| 2 | Holy Family Memorial Inc Manitowoc, WI | $4.2k | $4.2k | $770 | 18% | 2–20 | $381 – $15.2k |
| 3 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $1.2k | $1.3k | $394 | 30% | — | $448 – $2.4k |
| 4 | Southern Baptist Hospital of Florida, INC Jacksonville, FL | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Southern Baptist Hospital of Florida, INC Jacksonville, FL | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Southern Baptist Hospital of Florida, INC Fleming Island, FL | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Southern Baptist Hospital of Florida, INC Jacksonville, FL | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Baptist Medical Center of the Beaches, INC Beach, FL | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Mayo Clinic Health System Red Wing 55066-2848 | $363 | $363 | — | — | — | $363 – $9.7k |
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