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 LEXIDRON THER
Elkader, IA
See all hospitals reporting HCPCS A9604 →Price type
Central Community Hospital’s median price of $4.3k is 48% below the median hospital's median price ($8.4k), higher than 16% of the 1,379 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: 17 payers, 22 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 | Aetna wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 2 | Anthem wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 3 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 4 | Carefirst wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 5 | Excellus wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 6 | Highmark wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 7 | Kaiser wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 8 | Premera wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 9 | Regence wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 10 | Wellmark wellmark hmo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 11 | Wellmark wellmark ppo facility · fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 12 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $29.6k | $29.6k | — | — | — | $29.6k – $29.6k |
| 13 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $29.9k | $29.9k | — | — | — | $29.9k – $29.9k |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $31.7k | $31.7k | — | — | — | $31.7k – $31.7k |
| 15 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $36.3k | $36.3k | — | — | — | $36.3k – $36.3k |
| 16 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $42.3k | $42.3k | — | — | — | $42.3k – $42.3k |
| 17 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $42.3k | $42.3k | — | — | — | $42.3k – $42.3k |
| 18 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $42.3k | $42.3k | — | — | — | $42.3k – $42.3k |
| 19 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $50.2k | $50.2k | — | — | — | $50.2k – $50.2k |
| 20 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $50.3k | $50.3k | — | — | — | $50.3k – $50.3k |
| 21 | Cigna midlands choice facility · percent of total billed charges · bothfrom % of charges | $56.3k | $56.3k | — | — | — | $56.3k – $56.3k |
| 22 | Medica midlands choice facility · percent of total billed charges · bothfrom % of charges | $56.3k | $56.3k | — | — | — | $56.3k – $56.3k |
Last updated: Mar 31, 2026
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