Gallium-68 dotatate diagnostic imaging agent, 0.1 millicurie at Mercy Hospital Fort Smith

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

NM Gallium Ga-68 Dotatate Diag 0.1 Mci

Smith, AR

See all hospitals reporting HCPCS A9587 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Mercy Hospital Fort Smith’s median price of $64 is 23% below the median hospital's median price ($83), higher than 35% of the 1,463 hospitals reporting HCPCS A9587. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9587 at Mercy Hospital Fort Smith

Negotiated rates from the hospital’s own file: 17 payers, 26 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.

Filter by billing methodology

Filter by billing class

#
1	Medicaid hb ftsm mo medicaid facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
2	Aetna hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
3	Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
4	First Health hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
5	Humana hb ftsm humana mcr facility · other · outpatient	$49	$49	—	—	—	$49 – $49
6	Medica hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
7	Medicare hb ftsm medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
8	Tricare hb ftsm tricare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
9	UnitedHealthcare hb ftsm managed medicare facility · other · outpatient	$49	$49	—	—	—	$49 – $49
10	UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient	$49	$49	—	—	—	$49 – $49
11	Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
12	UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
13	WellCare hb ftsm novasys mcr 103% facility · other · outpatient	$50	$50	—	—	—	$50 – $50
14	Devoted hb ftsm devoted health mcr facility · other · outpatient	$51	$51	—	—	—	$51 – $51
15	Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient	$51	$51	—	—	—	$51 – $51
16	Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient	$69	$69	—	—	—	$69 – $69
17	Anthem hb ftsm blue cross facility · fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
18	Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
19	Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
20	Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
21	Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
22	Cigna hb ftsm cigna facility · percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
23	First Health hb ftsm first health_ccn facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
24	Aetna hb ftsm coventry/aetna facility · percent of total billed charges · outpatientfrom % of charges	$146	$146	—	—	—	$146 – $146
25	Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges	$146	$146	—	—	—	$146 – $146

Page 1 of 2 · 26 rates

Last updated: Jun 8, 2026

Compare to other hospitals

See Gallium-68 dotatate diagnostic imaging agent, 0.1 millicurie pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.