CP17756670762616045 — Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln
Cite this view
HANK Price Transparency. (n.d.). Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) Iv Soln (CDM CP17756670762616045) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/CP17756670762616045?code_type=CDM
“Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) Iv Soln (CDM CP17756670762616045) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/CP17756670762616045?code_type=CDM. Accessed .
“Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) Iv Soln (CDM CP17756670762616045) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/CP17756670762616045?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $85,875–$91,212 (25th–75th percentile) across 1 hospital · 11 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM CP17756670762616045 — 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 |
|---|---|---|---|---|---|---|---|
| GREAT PLAINS HEALTH BothFacility | Nebraska Total Care | Medicare Advantage | $49,099.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Molina | Medicare Advantage | $53,563.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Midwest Network Alliance | Owner | $81,674.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Midwest Network Alliance | Owner | $81,674.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Midwest Network Alliance | Non-Owner | $84,585.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Midwest Network Alliance | Non-Owner | $84,585.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Blue Cross and Blue Shield of Nebraska | Commercial | $85,875.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Blue Cross and Blue Shield of Nebraska | Commercial | $85,875.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Medica | Commercial | $89,271.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Ambetter | Commercial | $89,271.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Medica | Commercial | $89,271.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Ambetter | Commercial | $89,271.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Midlands Choice | Commercial | $90,242.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Oscar Health | Midlands Premier | $90,242.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Midlands Choice | Commercial | $90,242.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Oscar Health | Midlands Premier | $90,242.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | GEHA | Commercial | $91,212.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH Both | GEHA | Commercial | $91,212.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Coventry | HMO | $91,212.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Coventry | HMO | $91,212.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | United Health Care | Commercial | $92,182.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Mutual of Omaha | Commercial | $92,182.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Coventry | PPO | $92,182.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |
| GREAT PLAINS HEALTH Both | United Health Care | Commercial | $92,182.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH Both | Coventry | PPO | $92,182.00 | $97,034.00 | $58,220.00 | 2026-01-01 | MRF ↗ |
| GREAT PLAINS HEALTH BothFacility | Mutual of Omaha | Commercial | $92,182.00 | $97,034.00 | $58,220.00 | 2026-10-19 | MRF ↗ |