69488-010-61 — Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln [155407]
Cite this view
HANK Price Transparency. (n.d.). LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [155407] (NDC 69488-010-61) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/69488-010-61?code_type=NDC
“LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [155407] (NDC 69488-010-61) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/69488-010-61?code_type=NDC. Accessed .
“LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [155407] (NDC 69488-010-61) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/69488-010-61?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32,592–$106,921 (25th–75th percentile) across 2 hospitals · 12 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 69488-010-61 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| HARTFORD HOSPITAL Inpatient | CIGNA | CIGNA MANAGED CARE | $19,810.71 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Ambetter | Marketplace | $21,883.95 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Ambetter | Marketplace | $21,883.95 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $22,061.39 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Caresource | Commercial | $22,061.39 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $22,061.39 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Peach State | Medicaid | $22,061.39 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $24,042.77 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $24,042.77 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | OXFORD | UNITED MANAGED CARE - OXFORD ONLY | $27,326.00 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | UNITED | UNITED MANAGED CARE | $27,326.00 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA MANAGED CARE - MIDDLESEX ONLY | $32,591.82 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA MANAGED CARE | $32,591.82 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MANAGED CARE | $41,819.77 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | AETNA | AETNA SIGNATURE ADMINISTRATORS | $44,158.71 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM INDEMNITY/TRADITIONAL | $49,641.81 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $51,752.59 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $51,752.59 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM MANAGED CARE | $63,905.52 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Inpatient | ANTHEM | ANTHEM INDIVIDUAL | $63,905.52 | $63,905.52 | $63,905.52 | 2026-04-01 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Local Plus | $64,321.07 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Local Plus | $64,321.07 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $65,799.72 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $65,799.72 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Uhc | Exchange/Marketplace | $85,761.43 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Uhc | Exchange/Marketplace | $85,761.43 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Ifp | $86,648.62 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Ifp | $86,648.62 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $87,461.88 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $87,461.88 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Inpatient | Usp Naphcare | Commercial | $88,718.72 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Inpatient | Usp Naphcare | Commercial | $88,718.72 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Oscar Health | Commercial/Marketplace | $96,111.95 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Oscar Health | Commercial/Marketplace | $96,111.95 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $106,462.47 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $106,462.47 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Hmo/Pos | $108,295.99 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Hmo/Pos | $108,295.99 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Pathways/Marketplace | $108,295.99 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Pathways/Marketplace | $108,295.99 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Inpatient | Kaiser | Commercial | $112,081.32 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Inpatient | Kaiser | Commercial | $112,081.32 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Ppo | $112,450.98 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Ppo | $112,450.98 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Inpatient | Multiplan | Commercial | $113,855.70 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Inpatient | Multiplan | Commercial | $113,855.70 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Inpatient | Anthem Bcbs | Hpn | $118,291.63 | $147,864.54 | $147,864.54 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Inpatient | Anthem Bcbs | Hpn | $118,291.63 | $147,864.54 | $147,864.54 | 2026-07-18 | MRF ↗ |