Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
Medicare pricing data for 635 providers across 40 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
Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie (HCPCS code A9596) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,021, but hospitals typically charge $2,196 — a 2.2x 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 $1,021, your out-of-pocket cost would be approximately $204.11. 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 2.2x more than what Medicare allows for this procedure. Medicare actually pays $813.08 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Oklahoma | $1,266 | $4,882 | 8 | 408 | +24.1% |
| North Carolina | $1,214 | $2,742 | 10 | 111 | +19.0% |
| New Mexico | $1,157 | $1,254 | 1 | 92 | +13.3% |
| Illinois | $1,074 | $2,134 | 6 | 1,142 | +5.2% |
| Virginia | $1,070 | $1,484 | 12 | 732 | +4.8% |
| Arkansas | $1,065 | $2,570 | 41 | 1,756 | +4.3% |
| Idaho | $1,062 | $2,531 | 14 | 912 | +4.1% |
| Utah | $1,054 | $3,760 | 1 | 221 | +3.3% |
| District of Columbia | $1,054 | $3,469 | 1 | 75 | +3.3% |
| Minnesota | $1,054 | $2,052 | 6 | 83 | +3.3% |
| Missouri | $1,054 | $2,350 | 1 | 63 | +3.3% |
| Indiana | $1,053 | $1,162 | 6 | 171 | +3.2% |
| Wyoming | $1,053 | $3,760 | 3 | 327 | +3.2% |
| New York | $1,050 | $2,498 | 37 | 1,513 | +2.9% |
| Arizona | $1,047 | $1,882 | 23 | 590 | +2.6% |
| Washington | $1,046 | $2,459 | 15 | 2,128 | +2.5% |
| California | $1,045 | $2,353 | 58 | 4,285 | +2.4% |
| Oregon | $1,044 | $1,840 | 3 | 830 | +2.3% |
| Alaska | $1,040 | $2,243 | 12 | 915 | +1.9% |
| Nebraska | $1,038 | $2,495 | 15 | 1,761 | +1.7% |
| Hawaii | $1,037 | $1,668 | 3 | 1,404 | +1.6% |
| Mississippi | $1,036 | $1,840 | 1 | 274 | +1.6% |
| Michigan | $1,036 | $1,184 | 1 | 340 | +1.5% |
| Tennessee | $1,034 | $2,067 | 27 | 2,032 | +1.3% |
| Massachusetts | $1,033 | $1,697 | 24 | 730 | +1.2% |
| Louisiana | $1,029 | $3,821 | 8 | 98 | +0.8% |
| Puerto Rico | $1,023 | $1,051 | 3 | 170 | +0.3% |
| Texas | $990 | $2,859 | 59 | 3,418 | -3.0% |
| Iowa | $987 | $1,070 | 23 | 1,127 | -3.3% |
| Wisconsin | $986 | $2,184 | 12 | 286 | -3.4% |
| Georgia | $982 | $2,750 | 6 | 170 | -3.8% |
| Maryland | $982 | $1,663 | 14 | 980 | -3.8% |
| Florida | $980 | $2,075 | 106 | 8,212 | -4.0% |
| Kansas | $977 | $1,163 | 2 | 603 | -4.2% |
| Alabama | $975 | $1,295 | 7 | 120 | -4.4% |
| Ohio | $955 | $1,109 | 5 | 235 | -6.4% |
| Kentucky | $945 | $1,421 | 3 | 301 | -7.4% |
| Nevada | $936 | $1,120 | 13 | 402 | -8.3% |
| Pennsylvania | $907 | $1,197 | 15 | 309 | -11.1% |
| Colorado | $881 | $2,956 | 14 | 375 | -13.6% |
⚠️ 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