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
$2.9k
Average
$3.8k
Median
$3.3k
High
$8.1k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
135 hospitals; the 90th percentile is 1.5× 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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135 hospital rates
iThe hospitals that file a Devoted 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 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 2 | Banner Baywood Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 3 | Banner Boswell Medical Center Sun City, AZ facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 4 | Banner Del E Webb Medical Center Sun City West, AZ facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 5 | Banner Desert Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 6 | Banner Estrella Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 7 | Banner Fort Collins Medical Center Fort Collins, CO facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 8 | Banner Heart Hospital Mesa, AZ facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 9 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 10 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 11 | Banner University Medical Center Phoenix Phoenix, AZ facility · fee schedule · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 12 | Baptist Memorial Hospital-Collierville Collierville, TN facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 13 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 14 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 15 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 16 | Baptist Memorial Hospital-Memphis Memphis, TN facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 17 | Baptist Memorial Hospital-Women's Memphis, TN facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 18 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 19 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 20 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 21 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 22 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
← Payers reporting HCPCS A9604 · Snapshot 20261111T120946Z-9134e7f7