Lutetium lu 177, dotatate, therapeutic, 1 millicurie
Medicare pricing data for 87 providers across 6 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Lutetium lu 177, dotatate, therapeutic, 1 millicurie (HCPCS code A9513) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $302.22, but hospitals typically charge $544.33 — a 1.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $302.22, your out-of-pocket cost would be approximately $60.44. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $240.77 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Washington | $311 | $431 | 6 | 6,000 | +2.9% |
| Arkansas | $307 | $567 | 10 | 5,599 | +1.6% |
| Texas | $307 | $594 | 10 | 16,100 | +1.5% |
| Maryland | $304 | $374 | 3 | 6,200 | +0.6% |
| California | $301 | $355 | 3 | 6,164 | -0.3% |
| Florida | $296 | $613 | 16 | 10,196 | -1.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber