HCPCS A9513
Lutetium lu 177, dotatate, therapeutic, 1 millicurie
Current codeConventional Radiation Treatment33 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $266 – $1,994 | $637 | $1,592 |
| Deaconess Medical Center | $415 – $1,325 | — | — |
| Harborview Medical Center | $507 – $688 | — | — |
| Island Hospital | $592 – $667 | — | — |
| Kadlec Regional Medical Center | $290 – $1,126 | — | — |
| Legacy Salmon Creek Medical Center | $340 – $640 | — | — |
| Mary Bridge Children's Hospital | $320 – $3,211 | $637 | $1,592 |
| MultiCare Auburn Medical Center | $320 – $1,307 | $637 | $1,592 |
| MultiCare Covington Medical Center | $320 – $1,307 | $637 | $1,592 |
| MultiCare Good Samaritan Hospital | $320 – $1,307 | $637 | $1,592 |
| MultiCare Valley Hospital | $415 – $1,325 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $267 – $1,656 | — | — |
| PeaceHealth Peace Island Medical Center | — | $143,848 | $221,304 |
| PeaceHealth Southwest Medical Cente | $128 – $1,041 | $143,848 | $221,304 |
| PeaceHealth St John Medical Center | $128 – $321 | $143,848 | $221,304 |
| PeaceHealth St Joseph Medical Center | $321 | $143,848 | $221,304 |
| PeaceHealth United General Medical Center | — | $143,848 | $221,304 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $227 – $1,061 | — | — |
| Providence Centralia Hospital | $296 – $1,196 | — | — |
| Providence Holy Family Hospital | $290 – $1,173 | — | — |
| Providence Regional Medical Center Everett | $247 – $992 | $94,848 | $182,400 |
| Providence St Mary Medical Center | $296 – $941 | — | — |
| Providence St Peter Hospital | $272 – $1,250 | — | — |
| Swedish Edmonds Hospital | $334 – $1,152 | — | — |
| Swedish Issaquah | $296 – $1,357 | $351 | $731 |
| Swedish Medical Center | $296 – $1,357 | $351 | $731 |
| Swedish Medical Center / Cherry Hill | $296 – $1,357 | $351 | $731 |
| Tacoma General Allenmore Hospital | $320 – $1,307 | $505 – $637 | $1,263 – $1,592 |
| University of Washington Medical Ctr | $372 – $994 | — | — |
| Virginia Mason Medical Center | $296 – $1,051 | $330 | $647 |
| Wellfound Behavioral Health Hospital | $807 | — | — |
| Yakima Valley Memorial | $502 – $861 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $351 (APC 9067)
- Surgery center payment (national)
- $351
How hospitals also write this code
Some price files write it differently. These are counted as HCPCS A9513:
- 13A9513 (with a number in front; 13 price lines)