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
LUTETIUM LU 177 DOTATATE 370 MBQ/ML IV SOLN
Hackensack, NJ
See all hospitals reporting HCPCS A9513 →Price type
Hmh Hospitals Corporation’s median price of $485 is 9% above the median hospital's median price ($445), higher than 55% of the 1,308 hospitals reporting HCPCS A9513. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 2 | Optum managed medicaid facility · fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 3 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 4 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $274 | $274 | — | — | — | $274 – $274 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $296 | $296 | — | — | — | $296 – $296 |
| 6 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 7 | Optum medicare advantage facility · fee schedule · outpatient | $313 | $313 | — | — | — | $313 – $313 |
| 8 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $363 | $363 | — | — | — | $363 – $363 |
| 9 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $363 | $363 | — | — | — | $363 – $363 |
| 10 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $395 | $395 | — | — | — | $395 – $395 |
| 11 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $456 | $456 | — | — | — | $456 – $456 |
| 12 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $645 | $645 | — | — | — | $645 – $645 |
| 13 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $686 | $686 | — | — | — | $686 – $686 |
| 14 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $718 | $718 | — | — | — | $718 – $718 |
| 15 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $718 | $718 | — | — | — | $718 – $718 |
| 16 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $718 | $718 | — | — | — | $718 – $718 |
Last updated: Dec 31, 2025
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.