Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Sm 153 lexidronam
Low
$312
Average
$20.0k
Median
$14.7k
High
$142.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
661 hospitals; the 90th percentile is 12.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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824 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $18.8k | $18.3k | $979 | 5% | — | $16.9k – $19.1k |
| 2 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 2 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $2.5k | $2.5k | $412 | 16% | — | $2.1k – $2.9k |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $795 | 37% | — | $1.4k – $3.1k |
| 5 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 6 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $39.2k | $39.2k | $1.0k | 3% | — | $38.2k – $40.2k |
| 8 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $38.2k | $34.7k | $6.4k | 18% | — | $25.8k – $40.2k |
| 9 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 10 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
| 11 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 12 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 13 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 14 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $39.2k | $39.2k | $1.0k | 3% | — | $38.2k – $40.2k |
| 15 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $39.2k | $39.2k | $1.0k | 3% | — | $38.2k – $40.2k |
| 16 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 17 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 2 | $39.2k | $39.2k | $1.0k | 3% | — | $38.2k – $40.2k |
| 18 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 3 | $38.2k | $33.3k | $8.3k | 25% | — | $21.6k – $40.2k |
| 19 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 20 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $16.8k | $16.8k | $13.6k | 81% | — | $3.2k – $30.5k |
| 21 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $16.8k | $16.8k | $13.6k | 81% | — | $3.2k – $30.5k |
| 22 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $16.8k | $16.8k | $13.6k | 81% | — | $3.2k – $30.5k |
| 23 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $16.8k | $16.8k | $13.6k | 81% | — | $3.2k – $30.5k |
| 24 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $16.8k | $16.8k | $13.6k | 81% | — | $3.2k – $30.5k |
| 25 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $62.7k | $62.7k | $4.4k | 7% | — | $58.4k – $67.1k |
← Payers reporting HCPCS A9604 · Snapshot 20261111T120946Z-9134e7f7