Diagnostic gallium-68 gozetotide (Illuccix) imaging agent at Carmel AmbSurg

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PET GA-68 PSMA-11(ILLUCCIX) DX 1MCI

Carmel, IN

See all hospitals reporting HCPCS A9596 →

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Pricing by billing methodology

Price type

How this price compares nationally

Carmel AmbSurg’s median price of $1.0k is 2% below the median hospital's median price ($1.1k), higher than 47% of the 1,311 hospitals reporting HCPCS A9596. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9596 at Carmel AmbSurg

Negotiated rates from the hospital’s own file: 7 payers, 22 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	Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
2	Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
3	Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
4	Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
5	Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
6	Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
7	Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
8	Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
9	Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
10	Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
11	Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
12	Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
13	Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
14	Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
15	Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
20	UnitedHealthcare 9009_united healthcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
21	WellCare 9018_wellcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Aetna 9398_aetna vein 20250101 other · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k

Last updated: Jan 1, 2026

Compare to other hospitals

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