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 FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION
Utica, NY
See all hospitals reporting HCPCS A9596 →Price type
MVHS, Inc.’s median price of $1.0k is 2% below the median hospital's median price ($1.1k), higher than 45% 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: 11 payers, 20 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 | Excellus excellus bcbs medicare advantage other · both | $479 | $479 | — | — | — | $479 – $479 |
| 2 | Humana humana medicare advantage other · both | $479 | $479 | — | — | — | $479 – $479 |
| 3 | Medicare medicare other · both | $479 | $479 | — | — | — | $479 – $479 |
| 4 | Optum vaccn optum other · both | $479 | $479 | — | — | 1–10 | $479 – $479 |
| 5 | UnitedHealthcare uhc medicare advantage other · both | $483 | $483 | — | — | 1–10 | $483 – $483 |
| 6 | Aetna aetna medicare advantage other · both | $488 | $488 | — | — | — | $488 – $488 |
| 7 | WellCare wellcare medicare advantage other · both | $493 | $493 | — | — | — | $493 – $493 |
| 8 | Humana humana military other · both | $979 | $979 | — | — | — | $979 – $979 |
| 9 | Tricare humana military other · both | $979 | $979 | — | — | — | $979 – $979 |
| 10 | UnitedHealthcare uhc commercial fee schedule · both | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 11 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 12 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $15.9k | $15.9k | — | — | 1–10 | $15.9k – $15.9k |
| 13 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 14 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $18.1k | $18.1k | — | — | 2–20 | $18.1k – $18.1k |
| 15 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 16 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 17 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $20.0k | $20.0k | — | — | — | $20.0k – $20.0k |
| 18 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $26.6k | $26.6k | — | — | — | $26.6k – $26.6k |
| 19 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $26.6k | $26.6k | — | — | — | $26.6k – $26.6k |
| 20 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $26.6k | $26.6k | — | — | — | $26.6k – $26.6k |
Last updated: Aug 7, 2026
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