Payer comparison · HCPCS A9513 · MISSOURI VALLEY, IA

A9513 — Lutetium Lu 177 Dotatat Ther

What each payer pays CHI HEALTH MISSOURI VALLEY (CCN 161309) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$216,125 All-payer median here

$116,375 Cash / self-pay here

20 payer/plan-name variants

← This hospital National rates for A9513 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

MultiPlan	$232,750	7.7%	2
PHCS (Private Healthcare Systems)	$232,750	7.7%	2
QuikTrip	$228,000	5.5%	2
Greater Omaha Packing	$228,000	5.5%	4
Timpte	$228,000	5.5%	2
One World	$228,000	5.5%	4
Midlands Choice	$228,000	5.5%	4
Millard Public Schools	$228,000	5.5%	4
BCBS of Nebraska	$219,984	1.8%	4
Medica	$216,125	0.0%	10
Advanced Medical Pricing Solutions (AMPS)	$184,538	-14.6%	2
Molina Healthcare	$106,210	-50.9%	2
Total Care	$104,168	-51.8%	2
UnitedHealthcare	$102,125	-52.7%	6
Amerigroup	$95,724	-55.7%	4
Great Plains	$87,281	-59.6%	2
Centene	$84,788	-60.8%	2
Humana	$83,125	-61.5%	2
PACE (Program of All-Inclusive Care for the Elderly)	$83,125	-61.5%	2
Wellmark BCBS	$67,827	-68.6%	8

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.