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
HC SM-153 LEXIDRONAM, TX, UP TO 150 MCI
Monroe, LA
See all hospitals reporting HCPCS A9604 →Price type
Brfhh Monroe, Llc’s median price of $6.9k is 18% below the median hospital's median price ($8.4k), higher than 44% of the 1,371 hospitals reporting HCPCS A9604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana all payor other · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 2 | Aetna all payor fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 3 | Humana all payor fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 4 | Optum all payor fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 5 | UnitedHealthcare all payor fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 6 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $7.5k | $7.5k | $708 | 9% | — | $6.8k – $8.3k |
| 7 | Cigna all payor other · outpatient | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 8 | Bcbs La all payor fee schedule · outpatient | $17.6k | $14.9k | $5.3k | 36% | — | $4.3k – $17.6k |
| 9 | MultiPlan all payor other · outpatient | $16.5k | $16.5k | — | — | — | $16.5k – $16.5k |
| 10 | Aetna all payor other · outpatient | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 11 | First Health all payor other · outpatient | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
Last updated: Apr 1, 2026
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