Cost analysis for CPT A9596 — Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
Average Medicare Payment
$816.58
2023 data
Total Payments (2023)
$26.5M
Services (2023)
32.7K
Price Change (2022–2023)
-15.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2022 | $963.66 | $7.9M | 9.4K | — |
| 2023 | $816.58 | $26.5M | 32.7K | -15.3% |
The most expensive state pays 1.4x more than the cheapest for this procedure. OK averages $994.11 vs MD at $699.41.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| OK | $994.11 | $383.7K | 386 | 2 |
| IL | $856.20 | $947.8K | 1.1K | 4 |
| VA | $855.58 | $515.1K | 602 | 4 |
| AR | $850.44 | $1.1M | 1.3K | 13 |
| ID | $848.58 | $531.2K | 626 | 2 |
| NY | $846.69 | $916.1K | 1.1K | 12 |
| UT | $839.72 | $185.6K | 221 | 1 |
| WY | $837.40 | $252.9K | 302 | 1 |
| CA | $833.28 | $3.1M | 3.7K | 17 |
| WA | $832.76 | $1.6M | 2.0K | 9 |
| OR | $832.59 | $691.0K | 830 | 3 |
| AK | $831.73 | $680.4K | 818 | 4 |
| AZ | $829.98 | $294.6K | 355 | 4 |
| HI | $826.77 | $1.2M | 1.4K | 3 |
| MS | $826.06 | $226.3K | 274 | 1 |
| MI | $825.31 | $280.6K | 340 | 1 |
| NE | $824.28 | $1.2M | 1.5K | 5 |
| MA | $822.40 | $263.2K | 320 | 4 |
| TN | $821.66 | $1.4M | 1.7K | 12 |
| PR | $810.13 | $113.4K | 140 | 1 |
| WI | $800.48 | $142.5K | 178 | 1 |
| IA | $798.03 | $565.8K | 709 | 8 |
| OH | $792.59 | $140.3K | 177 | 1 |
| FL | $780.94 | $5.5M | 7.0K | 26 |
| TX | $779.85 | $2.2M | 2.9K | 13 |
| KS | $779.13 | $469.8K | 603 | 2 |
| KY | $744.33 | $186.1K | 250 | 1 |
| NV | $740.22 | $192.5K | 260 | 1 |
| CO | $708.31 | $167.9K | 237 | 2 |
| MD | $699.41 | $609.9K | 872 | 3 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Eric Cotton | Diagnostic Radiology | FL | $1.3M | 1.5K | $809.70 |
| Honolulu Imaging Center, Llc | Independent Diagnostic Testing Facility (IDTF) | HI | $968.8K | 1.2K | $830.84 |
| Thomas Yuschok | Diagnostic Radiology | FL | $575.7K | 742 | $775.93 |
| K Shamlou | Diagnostic Radiology | FL | $553.0K | 715 | $773.49 |
| Simon Trubek | Diagnostic Radiology | TX | $508.3K | 659 | $771.36 |
| Jaideep Sohi | Diagnostic Radiology | IL | $486.7K | 526 | $925.34 |
| Luke Nordquist | Medical Oncology | NE | $467.9K | 565 | $828.19 |
| Adam Brochert | Diagnostic Radiology | CA | $415.4K | 504 | $824.24 |
| Wayne Lamoreaux | Radiation Oncology | WA | $414.9K | 498 | $833.11 |
| Vivek Kesari | Nuclear Medicine | MD | $411.4K | 587 | $700.80 |
| Tennessee Pet Scan Center, Llc | Independent Diagnostic Testing Facility (IDTF) | TN | $401.5K | 491 | $817.75 |
| Robert Fairbanks | Radiation Oncology | ID | $387.6K | 463 | $837.21 |
| Jeffry Ailes | Diagnostic Radiology | NE | $371.5K | 446 | $832.87 |
| Mark Schechter | Diagnostic Radiology | CA | $356.2K | 434 | $820.85 |
| Christopher Lee | Radiation Oncology | WA | $355.3K | 430 | $826.31 |
| E Plus Pet Imaging Vi Lp | Independent Diagnostic Testing Facility (IDTF) | OK | $330.7K | 346 | $955.68 |
| Stanislav Spiridonov | Diagnostic Radiology | TX | $322.2K | 429 | $751.12 |
| Michael Fagien | Nuclear Medicine | FL | $312.7K | 390 | $801.83 |
| John Leahy | Diagnostic Radiology | TX | $309.3K | 400 | $773.37 |
| Michael Booker | Diagnostic Radiology | CA | $304.9K | 364 | $837.64 |
Based on the data, CPT A9596 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 15.3% since 2022. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.