Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
Medicare pricing data for 196 providers across 21 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 vipivotide tetraxetan, therapeutic, 1 millicurie (HCPCS code A9607) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $248.45, but hospitals typically charge $524.63 — a 2.1x 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 $248.45, your out-of-pocket cost would be approximately $49.69. 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 2.1x more than what Medicare allows for this procedure. Medicare actually pays $197.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Tennessee | $321 | $507 | 5 | 6,649 | +29.1% |
| Georgia | $308 | $744 | 10 | 29,484 | +24.2% |
| Virginia | $283 | $567 | 8 | 31,464 | +14.1% |
| Maine | $254 | $496 | 1 | 9,002 | +2.3% |
| Texas | $248 | $511 | 15 | 73,172 | -0.0% |
| Maryland | $246 | $323 | 4 | 50,826 | -1.2% |
| Colorado | $245 | $563 | 6 | 15,741 | -1.3% |
| Arkansas | $245 | $514 | 17 | 22,809 | -1.4% |
| Washington | $243 | $447 | 9 | 30,112 | -2.0% |
| New Mexico | $243 | $533 | 2 | 10,317 | -2.2% |
| Nebraska | $243 | $442 | 11 | 24,451 | -2.3% |
| Michigan | $242 | $699 | 6 | 28,608 | -2.4% |
| Louisiana | $242 | $386 | 4 | 11,120 | -2.6% |
| Arizona | $241 | $475 | 14 | 56,105 | -3.0% |
| Idaho | $240 | $509 | 2 | 3,800 | -3.5% |
| California | $240 | $318 | 8 | 19,343 | -3.6% |
| Florida | $238 | $709 | 25 | 95,446 | -4.2% |
| New York | $237 | $399 | 5 | 8,624 | -4.5% |
| Pennsylvania | $236 | $409 | 4 | 23,400 | -4.9% |
| New Jersey | $231 | $485 | 8 | 17,063 | -7.0% |
| Ohio | $221 | $428 | 12 | 10,801 | -11.2% |
⚠️ 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