Lutetium-177 dotatate radiopharmaceutical, 1 millicurie at Fairview Maple Grove Surgery Center

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LUTETIUM LU 177 DOTATATE 370 MBQ/ML (10 MCI/ML) IV SOLN

Maple Grove, MN

See all hospitals reporting HCPCS A9513 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $326 is 27% below the median hospital's median price ($445), higher than 27% of the 1,308 hospitals reporting HCPCS A9513. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9513 at Fairview Maple Grove Surgery Center

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	Blue Cross Blue Shield federal fee schedule · outpatient	$272	$272	—	—	—	$272 – $272
2	Cigna commercial fee schedule · both	$275	$275	$24	9%	—	$251 – $299
3	Blue Cross Blue Shield commercial fee schedule · outpatient	$277	$277	—	—	—	$277 – $277
4	Blue Cross Blue Shield medicaid fee schedule · outpatient	$277	$277	—	—	—	$277 – $277
5	Cigna commercial fee schedule · outpatient	$278	$278	$24	9%	—	$254 – $302
6	Blue Cross Blue Shield federal fee schedule · both	$285	$285	—	—	—	$285 – $285
7	Blue Cross Blue Shield commercial fee schedule · both	$290	$290	—	—	—	$290 – $290
8	UnitedHealthcare medicare advantage fee schedule · outpatient	$308	$308	—	—	—	$308 – $308
9	Blue Cross Blue Shield medicare advantage fee schedule · outpatient	$320	$320	—	—	—	$320 – $320
10	Medica ma non-snp fee schedule · both	$355	$355	—	—	—	$355 – $355
11	Medica ma snp fee schedule · both	$355	$355	—	—	—	$355 – $355
12	Medica prime solution fee schedule · both	$355	$355	—	—	—	$355 – $355
13	Medica vantage fee schedule · both	$355	$355	—	—	—	$355 – $355
14	Ucare ifp with fairview fee schedule · outpatient	$530	$530	—	—	—	$530 – $530
15	First Health commercial percent of total billed charges · outpatientfrom % of charges	$558	$558	$4	1%	—	$554 – $562
16	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$578	$578	$4	1%	—	$575 – $582
17	Medica bold fee schedule · both	$589	$589	—	—	—	$589 – $589
18	UnitedHealthcare commercial fee schedule · both	$606	$606	—	—	—	$606 – $606
19	Medica choice without / elect fee schedule · both	$654	$654	—	—	—	$654 – $654
20	Medica city of st paul / essential uplan fee schedule · both	$654	$654	—	—	—	$654 – $654
21	Medica choice with fee schedule · both	$677	$677	—	—	—	$677 – $677
22	Ucare ifp fee schedule · outpatient	$707	$707	—	—	—	$707 – $707

Last updated: May 18, 2026

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See Lutetium-177 dotatate radiopharmaceutical, 1 millicurie pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.