APC 9409

Gallium Ga-68 PSMA-11 imaging agent at Texas Orthopedic Hospital

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

HOUSTON, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Texas Orthopedic Hospital’s median price of $578 is 2% above the median hospital's median price ($567), higher than 66% of the 218 hospitals reporting APC 9409. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 9409 at Texas Orthopedic Hospital

Negotiated rates from the hospital’s own file: 9 payers, 25 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	Oscar mgmcr fee schedule · outpatient	$539	$539	—	—	—	$539 – $539
2	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
3	Blue Cross Blue Shield medicareadvantagehmo fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
4	Cigna Healthspring mcrhmo fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
5	Cigna Healthspring mcrppo fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
6	Cigna Healthspring mcrsnp fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
7	Cigna Healthspring mmp fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
8	Cigna Healthspring pffs fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
9	Devoted mgmcr fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
10	Humana medicareadvantagehmo fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
11	Humana medicareadvantageppopffs fee schedule · outpatient	$550	$550	—	—	—	$550 – $550
12	UnitedHealthcare mcr fee schedule · outpatient	$561	$561	—	—	—	$561 – $561
13	WellCare mcrhmo fee schedule · outpatient	$567	$567	—	—	—	$567 – $567
14	WellCare pffs fee schedule · outpatient	$567	$567	—	—	—	$567 – $567
15	WellCare pos fee schedule · outpatient	$567	$567	—	—	—	$567 – $567
16	WellCare ppo fee schedule · outpatient	$567	$567	—	—	—	$567 – $567
17	WellCare snp fee schedule · outpatient	$567	$567	—	—	—	$567 – $567
18	Superior Healthplan dualeligible fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
19	Superior Healthplan mcrhmo fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
20	Superior Healthplan mcrpos fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
21	Superior Healthplan mcrppo fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
22	Superior Healthplan mcrsnp fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
23	Superior Healthplan pffs fee schedule · outpatient	$578	$578	—	—	—	$578 – $578
24	Molina mgmcr fee schedule · outpatient	$600	$600	—	—	—	$600 – $600
25	Molina hix fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Last updated: May 14, 2026

Compare to other hospitals

See Gallium Ga-68 PSMA-11 imaging agent pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.