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 PREP OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLR [152570]
Arlington, TX
See all hospitals reporting HCPCS A9596 →Price type
AMH Cath Labs LLC’s median price of $6.3k is 498% above the median hospital's median price ($1.1k), higher than 94% of the 1,311 hospitals reporting HCPCS A9596. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $479 | $479 | — | — | — | $479 – $479 |
| 2 | Humana medicare advantage case rate · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 4 | Molina medicare advantage case rate · outpatient | $502 | $502 | — | — | — | $502 – $502 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $502 | $502 | — | — | — | $502 – $502 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $526 | $526 | — | — | — | $526 – $526 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $541 | $541 | — | — | — | $541 – $541 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $95 | 7% | — | $1.4k – $1.6k |
| 12 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $95 | 7% | — | $1.4k – $1.6k |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $100 | 7% | — | $1.4k – $1.6k |
| 15 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $103 | 7% | — | $1.5k – $1.7k |
| 16 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $104 | 7% | — | $1.5k – $1.7k |
| 17 | UnitedHealthcare all payer fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 18 | UnitedHealthcare ppo fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 19 | Blue Cross Blue Shield traditional fee schedule · outpatient | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 20 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | $444 | 7% | — | $6.4k – $7.3k |
| 21 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $9.0k | $9.0k | $590 | 7% | — | $8.5k – $9.6k |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $9.1k | $9.1k | $593 | 7% | — | $8.5k – $9.7k |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $11.4k | $11.4k | $741 | 7% | — | $10.6k – $12.1k |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $11.4k | $11.4k | $743 | 7% | — | $10.7k – $12.1k |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $11.5k | $11.5k | $748 | 7% | — | $10.7k – $12.2k |
Last updated: Apr 21, 2026
See Diagnostic gallium-68 gozetotide (Illuccix) imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.