Diagnostic gallium-68 PSMA-11 radiopharmaceutical, per 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, UCLA

Jasper, TX

See all hospitals reporting HCPCS A9594 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $375 is 32% below the median hospital's median price ($552), higher than 24% of the 983 hospitals reporting HCPCS A9594. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9594 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	$372	$372	—	—	—	$372 – $372
7	UnitedHealthcare hix fee schedule · outpatient	$372	$372	—	—	—	$372 – $372
8	Aetna mm fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
9	Bcbs Tx mm fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
10	Humana gold choice mm fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
11	Molina medicare adv mm fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
12	UnitedHealthcare mm fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
13	WellCare mm fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
14	Devoted mm fee schedule · outpatient	$405	$405	—	—	—	$405 – $405

Last updated: Jan 13, 2026

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