HCPCS A9513

Lutetium lu 177, dotatate, therapeutic, 1 millicurie

Current codeConventional Radiation Treatment33 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS A9513 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$637$1,592
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$637$1,592
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$637$1,592
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$637$1,592
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$637$1,592
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$94,848$182,400
Swedish IssaquahIssaquahFile dated 2026-04-01—$351$731
Swedish Medical CenterSeattleFile dated 2026-04-01—$351$731
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$351$731
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$505 – $637$1,263 – $1,592
Virginia Mason Medical CenterSeattle—$330$647

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)