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
Columbus, OH
See all hospitals reporting HCPCS A9604 →Price type
Mount Carmel East’s median price of $26.8k is 220% above the median hospital's median price ($8.4k), higher than 87% of the 1,374 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: 18 payers, 25 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 | Anthem anthem bcbs pathway grp hmo facility · fee schedule · both | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 2 | Anthem anthem blue access ppo blue pref hmo facility · fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 3 | Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 4 | Carefirst anthem blue access ppo blue pref hmo facility · fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 5 | Excellus anthem blue access ppo blue pref hmo facility · fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 6 | Highmark anthem blue access ppo blue pref hmo facility · fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 7 | Premera anthem blue access ppo blue pref hmo facility · fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 8 | Regence anthem blue access ppo blue pref hmo facility · fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 9 | Wellmark anthem blue access ppo blue pref hmo facility · fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $25.8k | $25.8k | — | — | — | $25.8k – $25.8k |
| 11 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $26.8k | $26.8k | — | — | — | $26.8k – $26.8k |
| 12 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $28.2k | $28.2k | — | — | — | $28.2k – $28.2k |
| 13 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $29.1k | $29.1k | — | — | — | $29.1k – $29.1k |
| 14 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $29.4k | $29.4k | — | — | — | $29.4k – $29.4k |
| 15 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $29.4k | $29.4k | — | — | — | $29.4k – $29.4k |
| 16 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $30.3k | $30.3k | — | — | — | $30.3k – $30.3k |
| 17 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $31.8k | $31.8k | — | — | — | $31.8k – $31.8k |
| 18 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $32.2k | $32.2k | — | — | — | $32.2k – $32.2k |
| 19 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $32.7k | $32.7k | — | — | — | $32.7k – $32.7k |
| 20 | Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges | $41.9k | $41.9k | — | — | — | $41.9k – $41.9k |
| 21 | Medical Mutual medical mutual ohio health traditional facility · percent of total billed charges · bothfrom % of charges | $43.7k | $43.7k | — | — | — | $43.7k – $43.7k |
| 22 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $45.9k | $45.9k | — | — | — | $45.9k – $45.9k |
| 23 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $45.9k | $45.9k | — | — | — | $45.9k – $45.9k |
| 24 | Aetna aetnaio health facility · percent of total billed charges · bothfrom % of charges | $57.5k | $57.5k | — | — | — | $57.5k – $57.5k |
| 25 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $57.5k | $57.5k | — | — | — | $57.5k – $57.5k |
Last updated: Mar 31, 2026
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