Payer comparison · HCPCS A9513 · PLAINVIEW, NE

A9513 — Lutetium Lu 177 Dotatat Ther

What each payer pays CHI HEALTH PLAINVIEW HOSPITAL (CCN 281346) 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.

$225,625 All-payer median here

$199,500 Cash / self-pay here

19 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

Advanced Medical Pricing Solutions (AMPS)	$321,622	42.5%	1
PHCS (Private Healthcare Systems)	$232,750	3.2%	1
MultiPlan	$232,750	3.2%	1
Millard Public Schools	$228,000	1.1%	2
Greater Omaha Packing	$228,000	1.1%	2
Midlands Choice	$228,000	1.1%	2
One World	$228,000	1.1%	2
QuikTrip	$228,000	1.1%	1
Timpte	$228,000	1.1%	1
Medica	$216,125	-4.2%	5
BCBS of Nebraska	$214,344	-5.0%	3
Molina Healthcare	$160,550	-28.8%	1
UnitedHealthcare	$154,375	-31.6%	3
Amerigroup	$152,119	-32.6%	1
Great Plains	$152,119	-32.6%	1
Centene	$151,074	-33.0%	2
Todays Options	$147,772	-34.5%	1
Humana	$144,875	-35.8%	1
PACE (Program of All-Inclusive Care for the Elderly)	$144,875	-35.8%	1

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.