Copy link
Export CSV
Cite this view
HANK Price Transparency. (n.d.).
LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [155407] (NDC 69488-010-61) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved November 4, 2026 , from http://ppman.hank.ai/transparency/procedure/69488-010-61/by-state?code_type=NDC
“LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [155407] (NDC 69488-010-61) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/69488-010-61/by-state?code_type=NDC. Accessed
November 4, 2026 .
“LUTETIUM LU 177 VIPIVOTIDE TET 1000 MBQ/ML IV SOLN [155407] (NDC 69488-010-61) by State,” HANK Price Transparency ,
accessed November 4, 2026 ,
http://ppman.hank.ai/transparency/procedure/69488-010-61/by-state?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
Print / Save PDF
NDC · across United States
69488-010-61 — Lutetium Lu 177 Vipivotide Tet 1000 Mbq/ml IV Soln [155407]
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$75,781
National median
$32,592 – $106,921
IQR (p25 – p75)
2
hospitals filing
2
states
Walking in without insurance?
Cash / self-pay price
Cash median
$67,366
vs. negotiated
-11.1%
Hospitals reporting
25
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 69488-010-61 (NDC), with interquartile range
State Median p25 p75
GA $87,462 $54,895 $108,296
CT $37,206 $28,642 $48,271