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
HC LUTATHERA LU 177 DOTATATE TX/MCI
Hanover, PA
See all hospitals reporting HCPCS A9513 →Price type
UPMC Hanover’s median price of $639 is 43% above the median hospital's median price ($445), higher than 74% of the 1,304 hospitals reporting HCPCS A9513. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 2 | Highmark medicare facility · fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 3 | Humana medicare facility · fee schedule · outpatient | $317 | $317 | — | — | — | $317 – $317 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 5 | Cigna medicare facility · fee schedule · outpatient | $333 | $333 | — | — | — | $333 – $333 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $339 | $339 | — | — | — | $339 – $339 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $402 | $402 | — | — | — | $402 – $402 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $633 | $633 | — | — | — | $633 – $633 |
| 9 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $645 | $645 | — | — | — | $645 – $645 |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $698 | $698 | — | — | — | $698 – $698 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $698 | $698 | — | — | — | $698 – $698 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $827 | $827 | — | — | — | $827 – $827 |
| 13 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $873 | $873 | — | — | — | $873 – $873 |
| 14 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $873 | $873 | — | — | — | $873 – $873 |
| 15 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $873 | $873 | — | — | — | $873 – $873 |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $873 | $873 | — | — | — | $873 – $873 |
| 17 | Highmark medicaid facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Highmark commercial facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | UnitedHealthcare commercial facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Mar 6, 2026
See Lutetium-177 dotatate radiopharmaceutical, 1 millicurie pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.