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HANK Price Transparency. (n.d.).
LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN (OTHER 216356) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/216356/by-state?code_type=OTHER
“LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN (OTHER 216356) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/216356/by-state?code_type=OTHER. Accessed
June 27, 2026 .
“LUTETIUM LU-177 VIPIVOTIDE TETRAXETAN 27 MCI/ML (1,000 MBQ/ML) IV SOLN (OTHER 216356) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/216356/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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OTHER · across United States
216356 — Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$121,941
National median
$103,848 – $151,730
IQR (p25 – p75)
19
hospitals filing
4
states
Walking in without insurance?
Cash / self-pay price
Cash median
$96,270
vs. negotiated
-21.1%
Hospitals reporting
11
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 216356 (OTHER), with interquartile range
State Median p25 p75
MT $190,562 $167,566 $199,126
CO $151,651 $137,611 $202,621
ID $121,941 $109,105 $121,941
UT $108,764 $93,675 $121,422