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
SAMARIUM 153-QUADRAMET 50MCI
Teaneck, NJ
See all hospitals reporting HCPCS A9604 →Price type
Holy Name’s median price of $9.7k is 16% above the median hospital's median price ($8.4k), higher than 56% 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: 10 payers, 21 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 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 2 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 3 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 4 | Aetna medicare prime facility · fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 5 | Aetna golden medicare facility · fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 6 | Clover clover facility · fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 8 | WellCare medicare facility · fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 9 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 10 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 11 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 12 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 13 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $15.0k | $15.0k | — | — | — | $15.0k – $15.0k |
| 14 | Optum all products facility · fee schedule · outpatient | $17.3k | $17.3k | — | — | — | $17.3k – $17.3k |
| 15 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 16 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $20.4k | $20.4k | — | — | — | $20.4k – $20.4k |
| 17 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 18 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $21.4k | $21.4k | — | — | — | $21.4k – $21.4k |
| 19 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $21.4k | $21.4k | — | — | — | $21.4k – $21.4k |
| 20 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $21.4k | $21.4k | — | — | — | $21.4k – $21.4k |
| 21 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
Last updated: Nov 10, 2025
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