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 | $1,274 – $1,353 | $637 | $1,592 |
| Mary Bridge Children's Hospital | $1,041 – $1,274 | $637 | $1,592 |
| MultiCare Auburn Medical Center | $939 – $1,162 | $637 | $1,592 |
| MultiCare Covington Medical Center | $939 – $1,162 | $637 | $1,592 |
| MultiCare Good Samaritan Hospital | $939 – $1,162 | $637 | $1,592 |
| Providence Regional Medical Center Everett | — | $94,848 | $182,400 |
| Swedish Issaquah | — | $351 | $731 |
| Swedish Medical Center | — | $351 | $731 |
| Swedish Medical Center / Cherry Hill | — | $351 | $731 |
| Tacoma General Allenmore Hospital | $745 – $1,162 | $505 – $637 | $1,263 – $1,592 |
| Virginia Mason Medical Center | $414 – $518 | $330 | $647 |
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)