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 TO 150MCL
Pendleton, OR
See all hospitals reporting HCPCS A9604 →Price type
Commonspirit Oregon’s median price of $30.9k is 269% above the median hospital's median price ($8.4k), higher than 90% 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: 4 payers, 8 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 | Cigna commercial|all plans fee schedule · inpatient | $18.5k | $18.5k | — | — | — | $18.5k – $18.5k |
| 2 | Cigna commercial|all plans fee schedule · outpatient | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
| 3 | Regence commercial|all plans fee schedule · inpatient | $27.5k | $27.5k | — | — | — | $27.5k – $27.5k |
| 4 | Regence commercial|all plans fee schedule · outpatient | $27.5k | $27.5k | — | — | — | $27.5k – $27.5k |
| 5 | Aetna commercial|all plans fee schedule · inpatient | $32.6k | $32.6k | — | — | — | $32.6k – $32.6k |
| 6 | Aetna commercial|all plans fee schedule · outpatient | $32.6k | $32.6k | — | — | — | $32.6k – $32.6k |
| 7 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $32.6k | $32.6k | — | — | — | $32.6k – $32.6k |
| 8 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $32.6k | $32.6k | — | — | — | $32.6k – $32.6k |
Last updated: Feb 28, 2026
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