HCPCS A9513
Lutetium lu 177, dotatate, therapeutic, 1 millicurie
Current codeConventional Radiation Treatment33 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $314 – $345 | $637 | $1,592 |
| Deaconess Medical Center | $314 – $345 | — | — |
| Harborview Medical Center | $317 – $349 | — | — |
| Island Hospital | $370 – $393 | — | — |
| Kadlec Regional Medical Center | $320 – $384 | — | — |
| Legacy Salmon Creek Medical Center | $330 – $358 | — | — |
| Mary Bridge Children's Hospital | $314 – $345 | $637 | $1,592 |
| MultiCare Auburn Medical Center | $314 – $345 | $637 | $1,592 |
| MultiCare Covington Medical Center | $314 – $345 | $637 | $1,592 |
| MultiCare Good Samaritan Hospital | $314 – $345 | $637 | $1,592 |
| MultiCare Valley Hospital | $323 – $345 | — | — |
| Olympic Medical Center | $389 – $500 | — | — |
| Overlake Hospital Medical Center & Clinics | $320 – $333 | — | — |
| PeaceHealth Peace Island Medical Center | — | $143,848 | $221,304 |
| PeaceHealth Southwest Medical Cente | $321 – $369 | $143,848 | $221,304 |
| PeaceHealth St John Medical Center | $250 – $353 | $143,848 | $221,304 |
| PeaceHealth St Joseph Medical Center | $321 – $353 | $143,848 | $221,304 |
| PeaceHealth United General Medical Center | — | $143,848 | $221,304 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $320 – $384 | — | — |
| Providence Centralia Hospital | $320 – $512 | — | — |
| Providence Holy Family Hospital | $320 – $352 | — | — |
| Providence Regional Medical Center Everett | $320 – $352 | $94,848 | $182,400 |
| Providence St Mary Medical Center | $320 – $352 | — | — |
| Providence St Peter Hospital | $320 – $512 | — | — |
| Swedish Edmonds Hospital | $320 – $384 | — | — |
| Swedish Issaquah | $320 – $384 | $351 | $731 |
| Swedish Medical Center | $320 – $384 | $351 | $731 |
| Swedish Medical Center / Cherry Hill | $320 – $384 | $351 | $731 |
| Tacoma General Allenmore Hospital | $314 – $345 | $505 – $637 | $1,263 – $1,592 |
| University of Washington Medical Ctr | $317 – $349 | — | — |
| Virginia Mason Medical Center | $222 – $333 | $330 | $647 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $314 – $351 | — | — |
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)