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Best Countries & Costs for Lutetium-177 therapy in the World

The best countries for Lutetium-177 therapy in the world are Turkey, Germany, Spain, Austria, and Israel. All five combine accredited hospitals, experienced surgeons, and procedure costs up to 75% lower than in the US. Bookimed's ranking is based on 404 patient requests and 28 verified clinics across 50+ countries.

Save up to

75%

vs. average UK or US prices

Data from 28 verified clinics across 30 countries
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Authored by Anna Leonova
Head of Content Marketing Team

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Top 3 Countries for Affordable Lutetium-177 therapy: Cost & Quality Compared

RankedCountryPrice Avg.Saving vs USBest ForWhy It’s Ranked
#1GermanyFrom $14,000Up to60%Pioneering expertise and individualized dosimetryGermany helped invent the PSMA-617 molecule. Specialized nuclear medicine departments use individualized dosimetry to tailor radiation doses, protecting healthy tissue while targeting advanced prostate cancer cells.
#2AustriaFrom $35,00010+ years of radioligand experience and quick treatment approvalsAustrian centers have used Lutetium-177 for over 10 years. Specialists use PSMA PET/CT scans to target cancer precisely, while streamlined bureaucracy allows faster access to therapy than elsewhere.
#3ILFrom $16,500Up to53%Innovative PRRT methods for neuroendocrine and prostate tumorsIsraeli hospitals are early adopters of Lutetium-177 therapy, with major centers performing 500+ cases. Facilities integrate diagnostics and treatment under one roof to enable precise cancer targeting.

Medical Disclaimer: Data verified by Bookimed as of May 2026, based on patient requests and official quotes from 28 clinics worldwide. Median costs are based on real invoices (2024–2026) and updated monthly. Actual prices may vary.

Turkey: Best Country for Lutetium-177 therapy in the World – from $8,800

Memorial Şişli Hospital
4.7
(368 reviews)
28 years of experience

Lutetium-177 Therapy package

Prof. Dr. Cüneyt Türkmen has performed 1,100+ Lutetium-177 therapy procedures over 28 years of experience specializing in nuclear medicine. Treatment at Memorial Şişli typically costs around $6,500 per course – covering the therapy, 1 day hospitalization, and pre-treatment consultation. The JCI-accredited hospital uses PSMA PET-CT for precise therapy selection. Prof. Türkmen is an European Association of Nuclear Medicine member with 86+ scientific publications.

Anadolu Medical Center
4.6
(520 reviews)
29 years of experience

Lutetium-177 PSMA Prostate Radioligand Therapy Program

This package follows American standards through its affiliation with Johns Hopkins Medicine at the JCI-accredited Anadolu Medical Center. Dr. Kezban Berberoglu leads the evaluation and administration in a structured 4-day cycle: diagnostics on day two, Lu-177 PSMA therapy on day three, and a post-treatment scan on day four. The total cost is approximately $10,000, covering the therapy and associated medical supervision. Patients receive comprehensive support with free airport transfers, interpreters, and a medical second opinion to streamline their international care journey.

Hisar Hospital Intercontinental
4.6
(221 reviews)
26 years of experience

Lutetium-177 PSMA Therapy (Up to 200 mCi) by Nuclear Medicine Specialist — Transfers & Multilingual Support

This LUTETHIUM THERAPY package targets PSMA-positive cancer with a dose capacity up to 200 mCi of Lutetium-177. Associate Professor Tamer Aksoy, a nuclear medicine specialist with 25+ years of experience and clinical research at the Netherlands Cancer Institute, delivers the treatment. It involves a planned protocol of 6–8 sessions at Hisar Hospital Intercontinental. Costs are approximately $8,800, which includes each therapy session, VIP transfers, a personal assistant, and translation services. The JCI-accredited Nuclear Medicine department provides PET/CT imaging validation for treatment planning.

Germany: Top Country for Lutetium-177 therapy Abroad – from $14,000

Germany pioneered PSMA-617 molecules in 2012. This gives its nuclear medicine specialists unmatched clinical experience. The country maintains a dense network of specialized cyclotrons. These facilities produce isotopes locally to ensure a reliable supply for prostate cancer patients seeking targeted radiation therapy.

  • Historical leadership. German scientists invented the PSMA-617 molecule used globally for these targeted cancer treatments.
  • Nuclear infrastructure. Germany has one of the highest densities of specialized nuclear medicine departments in Europe.
  • Clinical volume. Large centers like Nordwest Clinic in Frankfurt serve 61,000+ patients annually across 28 departments.
  • Safety standards. Facilities like Nordwest Clinic hold TÜV certification. This confirms high safety for technical equipment.

Bookimed Expert Insight: German clinics frequently offer Lutetium-177 therapy as a standard treatment option. This contrasts with many countries where it remains restricted to clinical trials. Major centers also utilize anticancer vaccines and 3D ultrasound to refine diagnostic accuracy before starting therapy cycles.

What patients say: Patients note that Germany offers faster access to radioligand therapy than their home countries. Many mention the strong reputation of German university hospitals for treating advanced prostate cancer. They highlight the need for specific scans before traveling for treatment.

Spain: Top Country for Lutetium-177 therapy Abroad – from $12,000

Centro Médico Teknon

Austria: Top Country for Lutetium-177 therapy Abroad – from $35,000

Austria offers decade-long expertise in Lutetium-177 therapy for advanced prostate cancer. Medical teams use PSMA PET/CT imaging to target radiation directly at cancer cells. This method spares healthy tissue. Treatment often follows protocols approved by the European Union early on.

  • Clinical experience. Austrian medical teams have performed radioligand therapy for over 10 years.
  • Interdisciplinary boards. Nuclear medicine specialists and oncologists customize every patient plan together.
  • Hospital recognition. Weiner Privatklinik is listed among the World's Best Hospitals by Newsweek.
  • Academic expertise. Many practicing physicians serve as professors at the Medical University of Vienna.

Bookimed Expert Insight: Austria provides faster access to compassionate use protocols than many neighboring countries. This is vital for patients with treatment-resistant disease. Therapy costs typically range from $35,000 to $55,000 per cycle.

What patients say: Patients feel relief finding treatment available in such a high-quality medical system. They note that the scheduling is efficient. Some mention being surprised by the quick treatment approvals.

Israel: Top Country for Lutetium-177 therapy Abroad – from $16,500

Israel is a primary global hub for Lutetium-177 therapy due to its early adoption and high-precision theranostic approach. Specialized centers provide integrated Ga-68 PSMA PET/CT scans and treatment under one roof. This allows doctors to visualize and target cancer cells with exceptional radiation accuracy.

  • Theranostic expertise. Centers like Sourasky provide Lutetium-177 PRRT, a method available in only few countries globally.
  • High-volume oncology. Sourasky Medical Center treats 400,000+ patients annually and maintains a 90% oncology success rate.
  • Specialized researchers. Experts like Dr. Inna Ospovat focus exclusively on nuclear therapy and innovative radionuclide methods.
  • International accreditation. Major hospitals like Sourasky hold JCI accreditation, meeting strict global standards for patient safety.

Bookimed Expert Insight: Israel's leading oncology centers, such as Sheba Medical Center, employ multidisciplinary teams where nuclear medicine specialists and bioinformatics researchers collaborate. This research-heavy environment allows doctors to manage complex metastatic cases using protocols that combine genomic profiling with targeted radiation.

What patients say: Patients note that Israel offers much faster treatment starts compared to long waits in the UK or Canada. The medical teams speak excellent English, which makes communicating during the nuclear medicine process very easy. Many travelers highlight that pricing is competitive while still receiving care at top-ranked global hospitals.

How Bookimed Ranks the Best Affordable Countries for Lutetium-177 therapy Abroad

Transparent methodology - so you can trust our recommendations.

Whether you're looking for the cheapest place to get lutetium-177 therapy or the highest-rated specialists abroad, Bookimed's ranking accounts for everything that matters. It uses a smart algorithm that continuously analyzes real-world data from verified verified clinics worldwide, including:

  • 404 patient requests

    We analyze thousands of real cases to identify destinations with the highest patient demand and best outcomes for lutetium-177 therapy.

  • 14 verified patient reviews

    Real feedback on hospital facilities, staff communication, recovery experience, and long-term results.

  • Accreditation standards

    International accreditations such as JCI and ISO 9001, or equivalent national certifications, verified annually.

  • Board-certified specialists

    Evaluated by credentials, volume of successful cases for lutetium-177 therapy, and specialized training.

  • Transparent price data

    Aggregated directly from clinics and cross-checked against other ranking criteria - so the cheapest countries for lutetium-177 therapy on our list are also among the safest.

  • Medical excellence & innovation

    We prioritize countries using the latest techniques and equipment for lutetium-177 therapy, with proven track records in international patient care.

Choosing a country for Lutetium-177 therapy abroad shouldn't come down to guesswork. Having helped over 900,000 patients, we know which destinations combine the best specialists, safest hospitals, and affordable prices. We're here to help you find the right one.

Why we?

Your personal Bookimed medical coordinator

  • Supports you at every stage
  • Helps choose the right clinic and doctor
  • Ensures quick and convenient access to information
Authored by
Anna Leonova
Anna Leonova
Head of Content Marketing Team
A certified medical writer with 10+ years of experience, developed Bookimed’s trusted content, backed by a Master’s in Philology and medical expert interviews worldwide.
Fahad Mawlood
Medical Editor & Data Scientist
General practitioner. Winner of 4 scientific awards. Served in Western Asia. Former Team Leader of a medical team supporting Arabic-speaking patients. Now responsible for data processing and medical content accuracy.
Fahad Mawlood Linkedin

All You Need to Know about Lutetium-177 therapy

What Is Lutetium 177 Therapy?

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Lutetium-177 therapy is an innovative and targeted prostate cancer treatment for patients with advanced prostate cancer, especially those with metastatic prostate cancer. “Targeted” means that the treatment specifically seeks out and binds to prostate cancer cells while avoiding nearby healthy tissues.

🔹This treatment uses nuclear medicine to deliver radiation directly to prostate cancer cells, helping manage disease progression. This method gives hope when other prostate cancer treatments have not been effective.

What is Lutetium 177?

It’s a radioactive substance that binds to PSMA (prostate-specific membrane antigen), which is present in high amounts on tumor cells. This allows Lutetium-177 to deliver targeted radiation, destroying cancer cells while sparing the healthy tissues. This approach leads to fewer adverse events than traditional hormonal therapies and other treatments.

✅Patients treated with Lutetium-177 treatment for prostate cancer often experience improved progression-free survival and a higher chance of living longer with fewer symptoms. The lutetium 177 success rate has been encouraging, showing that many patients respond well, even in cases of castration-resistant prostate cancer.

This therapy is part of treatment regimens recommended for patients needing a powerful alternative to first-line treatment options.

How Does Lutetium-177 Treatment Work for Prostate Cancer?

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Facing advanced prostate cancer is overwhelming, especially when other treatment options have not brought the hoped-for results. But there is hope in Lutetium-177 therapy. This innovative approach consists of the following stages:

Step Description
1. Clinical examination The patient undergoes a thorough examination and review of medical reports to assess suitability for the treatment.
2. Blood tests Blood tests are performed to ensure the patient’s liver and kidney functions are normal, as these organs help process the treatment.
3. Injection of radiopharmaceutical A doctor injects radiopharmaceutical containing Lutetium-177 into the patient’s vein. This substance accumulates specifically in tumor cells, minimizing damage to healthy tissues.
4. Targeting cancer cells The radiopharmaceutical travels through the bloodstream and binds to PSMA on prostate cancer cells.
5. Delivering radiation Lutetium-177 releases radiation directly to the cancer cells, effectively destroying them while sparing nearby healthy tissues.
6. Monitored stay The patient stays in a screened ward for a short period to ensure safety and monitor any immediate reactions.

Effectiveness of Lutetium-177 Therapy for Metastatic Prostate Cancer

Lutetium-177 therapy is a powerful treatment for advanced prostate cancer. It works well, even for patients whose cancer has spread and who have tried many other treatments. 

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🔹A study by Hofman and his team showed excellent results. Over half of 30 patients treated had their PSA levels drop by 50% or more. This means their cancer responded well. Most patients felt better by the second treatment cycle. There were no deaths from the treatment, and side effects like dry mouth, nausea, and tiredness were usually mild.

🔹Another study by Rahbar included 145 patients. Nearly half of them had a big drop in PSA levels after their treatment. Some patients felt better after just one session. While a few had side effects like anemia or low blood counts, these were manageable. This study showed that Lutetium-177 therapy works better and is safer than many other treatments for hard-to-treat prostate cancer.

🔹The VISION trial was even bigger. It included over 800 patients. Those who got Lutetium-177 therapy lived longer and had more time before their cancer grew. Patients treated with this therapy had a median of 8.7 months before their cancer got worse, compared to just 3.4 months for those who didn't get it. They also lived around four months longer overall. Some side effects were stronger in this group, but most patients handled them well.

Is This Treatment Safe?

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In conclusion, lutetium 177 life expectancy outcomes are promising for patients with advanced prostate cancer, particularly those with metastatic castration-resistant types. 

A review of several studies showed a biochemical response rate of 45%, with 40% of patients responding after only one treatment cycle. In another analysis, 65% of patients experienced a PSA reduction of more than 50%, and 23% had a reduction of over 90% after multiple treatment cycles.The lutetium 177 success rate is impressive, with studies showing effective targeting of cancer cells.

Lutetium-177 Treatment Costs Across The Globe

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The lutetium-177 treatment cost UK and Germany are among the highest, reaching up to $44,000 and $45,000, respectively. In contrast, Turkey offers lu 177 treatment at a significantly lower cost, ranging from $6,500 to $13,000. This represents potential savings of up to $32,000, which is about 71% less than the highest lutetium psma therapy cost in Germany or the UK.

Austria and Spain offer lutetium 177 treatment for prostate cancer at costs up to $35,000, providing savings of about 22% or $10,000 compared to the top prices in Germany and the UK.

🏷️For patients considering lutetium 177 treatment, seeking care in a country like Turkey can be an excellent way to reduce treatment costs while receiving high-quality care. 

Lutetium therapy cost comparison

Country Cost Range
Austria $16,000 - $35,000
Germany $24,000 - $45,000
Israel $25,000 - $40,000
Spain $16,000 - $35,000
Turkey $6,500 - $13,000
USA $18,000 - $27,000
UK $26,000 - $44,000

All-Inclusive Lu 177 Treatment Packages

Lutetium-177 therapy packages are designed to make the treatment process stress-free for patients. These packages bundle essential services to simplify the medical journey.

✅Benefits of all-Inclusive packages

All-inclusive lutetium-177 therapy packages offer comprehensive care, providing patients with everything they need from start to finish. These packages often include medical procedures, accommodation, transport, and continuous support, making the experience more manageable and predictable.

What is included in a typical package?

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Most Lutetium-177 therapy packages offer:

  • The therapy itself and medical consultations.

  • Preoperative and blood tests, plus follow-up exams like PET/CT scans.

  • Hospital stay (1-2 days) and several nights in a hotel.

  • Transport services (VIP or standard transfers).

  • 24/7 assistance and a personal medical coordinator.

*Important to double-check what services are included into a specific deal.

✔️ Typically Included Services ✖️ Details to Clarify
Lutetium-177 therapy and consultations Accommodation type and quality
Preoperative tests and blood tests Specific transport options (VIP or standard)
Follow-up exams (e.g., PET/CT) Scope of procedures and extra costs
1-2 days in the hospital and hotel stay Duration of hospital/hotel stay
Transport services (e.g., VIP transfers) Special services like priority appointments
24/7 assistance and medical coordinator  
Medical travel arrangements and patient advocacy  

The services in these packages can vary by country. Turkey is known for offering some of the most comprehensive Lutetium-177 therapy packages.

Who Can Get Lutetium-177 Therapy?

Lutetium-177 therapy is for people with advanced prostate cancer. It is especially for those whose cancer has spread and who have tried other treatments without success. Here’s who can get this therapy:

  1. Confirmed cancer diagnosis. The person must have prostate cancer that is advanced or has spread.

  2. PSMA-positive cancer. The cancer cells must have PSMA (prostate-specific membrane antigen) on them. A special scan checks for this. If PSMA is present, the treatment can find and target the cancer cells.

  3. Tried other treatments. This therapy is for people who have already tried other treatments, like chemotherapy or hormone therapies, and didn’t get the results they needed.

  4. Healthy organs. The liver and kidneys need to be working well. Blood tests help doctors check this.

  5. Good overall health. The person must be healthy enough to handle the treatment.

🔹Patients receive this therapy at a comprehensive cancer center, where multidisciplinary teams provide advanced care and access to the latest clinical trials. Bookimed works only with varified clinics.

Treatment Options for Metastatic Prostate Cancer

When prostate cancer spreads to other parts of the body, it is called metastatic prostate cancer, which can be harder to treat. However, several treatment options are available to help control the disease and manage symptoms. Lutetium-177 therapy (also known as Lu-177 treatment) is a newer, promising approach, but other options are available as well.

  • Hormonal therapies. Many prostate cancer cells need testosterone, a male hormone, to grow. These hormonal therapies work by lowering testosterone levels in the body. With less testosterone, the cancer cells have less fuel to grow, which can slow disease progression.

  • Chemotherapy. This treatment uses powerful drugs that spread throughout the body to kill cancer cells wherever they are. It is often used when the cancer has spread far beyond the prostate.

  • Radiation Therapy. High-energy rays are directed at specific spots in the body to kill cancer cells in those areas. This targeted therapy can help reduce the size of tumors and control symptoms in certain places where the cancer has spread.

  • Lutetium-177 Therapy (Lu-177). Lutetium-177 therapy is a targeted therapy that uses a radioactive substance to attach to and destroy prostate cancer cells that have PSMA (Prostate-Specific Membrane Antigen) markers.

  • Surgery. In some cases, surgery may be performed to remove the prostate or to relieve specific symptoms caused by the cancer. Surgery is less common in metastatic cases, but it may still be an option depending on the situation.

Lutetium PSMA therapy cost vs other procedures

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The lutetium-177 treatment cost varies widely based on country, but it is generally higher than traditional treatments due to its specialized nature. Below, we explore how lutetium 177 price compared to other treatments for metastatic prostate cancer.

Procedure Austria Germany Israel Spain Turkey USA UK
Hormonal Therapies $3,000 - $5,000 $2,800 - $4,500 $3,500 - $6,000 $3,000 - $5,500 $1,500 - $3,000 $4,000 - $7,000 $3,500 - $6,000
Chemotherapy $3,500 - $5,500 $2,800 - $4,200 $4,000 - $7,000 $3,500 - $6,000 $2,000 - $4,000 $10,000 - $15,000 $6,000 - $10,000
Radiation Therapy $5,000 - $8,000 $8,000 - $12,000 $7,500 - $10,000 $6,500 - $9,500 $4,500 - $7,500 $15,000 - $30,000 $10,000 - $15,000
Surgery $15,000 - $25,000 $20,000 - $30,000 $20,000 - $35,000 $15,000 - $25,000 $10,000 - $20,000 $30,000 - $50,000 $20,000 - $35,000
Lutetium-177 Therapy $16,000 - $35,000 $24,000 - $45,000 $25,000 - $40,000 $16,000 - $35,000 $6,500 - $13,000 $18,000 - $27,000 $26,000 - $44,000

Future of Lutetium 177 Therapy

The future of  177lu therapy is bright, with ongoing research and development aimed at enhancing its safety and efficacy. As more clinical trials are completed, Lu-177 therapy is expected to become a standard treatment option for patients with metastatic prostate cancer. Researchers are also exploring its potential applications in other types of cancer, such as thyroid cancer, and in combination with other treatments to boost its effectiveness.

From a cost-effectiveness perspective, Lu-177 therapy has shown notable clinical benefits and is considered cost-effective for patients with metastatic prostate cancer. A cost-effectiveness analysis highlighted its value from a healthcare system perspective, demonstrating that the therapy provides significant benefits relative to its costs. However, treatment costs can vary depending on the location and specific treatment protocols used.

Overall, Lu-177 therapy is a promising new treatment option for patients with metastatic prostate cancer. Its ability to target PSMA and destroy cancer cells makes it a valuable addition to the treatment landscape for this challenging disease.

References:

  1. [ 177 Lu]-PSMA-617 radionuclide treatment in patients with metastatic castration-resistant prostate cancer (LuPSMA trial): a single-centre, single-arm, phase 2 study / M. S. Hofman et al. The Lancet Oncology. 2018. Vol. 19, no. 6. P. 825–833. URL: https://doi.org/10.1016/s1470-2045(18)30198-0 (date of access: 11.11.2024).

  2. German Multicenter Study Investigating 177 Lu-PSMA-617 Radioligand Therapy in Advanced Prostate Cancer Patients / K. Rahbar et al. Journal of Nuclear Medicine. 2016. Vol. 58, no. 1. P. 85–90. URL: https://doi.org/10.2967/jnumed.116.183194 (date of access: 11.11.2024).

  3. Lutetium-177–PSMA-617 for Metastatic Castration-Resistant Prostate Cancer / O. Sartor et al. New England Journal of Medicine. 2021. Vol. 385, no. 12. P. 1091–1103. URL: https://doi.org/10.1056/nejmoa2107322 (date of access: 11.11.2024).

  4. Lutetium-177 PSMA for the treatment of metastatic castrate resistant prostate cancer: a systematic review / K. Patell et al. Expert Review of Anticancer Therapy. 2023. URL: https://doi.org/10.1080/14737140.2023.2213892 (date of access: 11.11.2024).

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