Diagnostic gallium-68 PSMA-11 imaging agent, 1 millicurie at Southeast Texas - Jasper Memorial

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

GALLIUM GA-68 PSMA-11 UCSF

Jasper, TX

See all hospitals reporting HCPCS A9593 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $540 is 26% below the median hospital's median price ($729), higher than 17% of the 969 hospitals reporting HCPCS A9593. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9593 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 7 payers, 14 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	Bcbs Tx blue advantage hmo fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
2	Bcbs Tx heb fee schedule · outpatient	$313	$313	—	—	—	$313 – $313
3	Bcbs Tx hmo fee schedule · outpatient	$313	$313	—	—	—	$313 – $313
4	Bcbs Tx ppo fee schedule · outpatient	$358	$358	—	—	—	$358 – $358
5	Bcbs Tx traditional fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
6	UnitedHealthcare all payer fee schedule · outpatient	$535	$535	—	—	—	$535 – $535
7	UnitedHealthcare hix fee schedule · outpatient	$535	$535	—	—	—	$535 – $535
8	Aetna mm fee schedule · outpatient	$540	$540	—	—	—	$540 – $540
9	Bcbs Tx mm fee schedule · outpatient	$540	$540	—	—	—	$540 – $540
10	Humana gold choice mm fee schedule · outpatient	$540	$540	—	—	—	$540 – $540
11	Molina medicare adv mm fee schedule · outpatient	$540	$540	—	—	—	$540 – $540
12	UnitedHealthcare mm fee schedule · outpatient	$540	$540	—	—	—	$540 – $540
13	WellCare mm fee schedule · outpatient	$540	$540	—	—	—	$540 – $540
14	Devoted mm fee schedule · outpatient	$583	$583	—	—	—	$583 – $583

Last updated: Jan 13, 2026

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