HCPCS A9607
Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie
Current code33 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Deaconess Medical Center | — | $444 | $1,110 |
| Olympic Medical Center | $34,774 – $38,086 | $102,915 | $128,644 |
| Providence Regional Medical Center Everett | — | $88,400 | $170,000 |
| Virginia Mason Medical Center | — | $325 | $638 |
| Yakima Valley Memorial | — | $444 | $1,110 |
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)
- $267 (APC 9054)
- Surgery center payment (national)
- $267