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
IND III SATUMOMAB DX UP TO 6 MG
Duluth, GA
See all hospitals reporting HCPCS A4642 →Price type
Northside Hospital, Inc.’s median price of $11.0k is 317% above the median hospital's median price ($2.6k), higher than 98% of the 916 hospitals reporting HCPCS A4642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 55 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 | Caresource caresource other · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | Cigna cigna healthsprings medicare advantage other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 3 | UnitedHealthcare uhc ga individual exchange fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 4 | UnitedHealthcare uhc heritage select fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 5 | UnitedHealthcare uhc hmo/pos/ppo fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 6 | UnitedHealthcare uhc hmo/pos/ppo-g fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 7 | UnitedHealthcare uhc hmo/pos/ppo-t fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 8 | Blue Cross Blue Shield bcbs_pathway other · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 9 | Blue Cross Blue Shield bcbs_pathway-l other · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 11 | Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 12 | Blue Cross Blue Shield blue hpn other · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 13 | Blue Cross Blue Shield blue hpn-l other · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 14 | Oscar oscar percent of total billed charges · outpatientfrom % of charges | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 15 | Blue Cross Blue Shield bcbs_hmo other · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 16 | Blue Cross Blue Shield bcbs_hmo-l other · outpatient | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 17 | Kaiser kaiser_hmo percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 18 | Kaiser kaiser_hmo-aga percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 19 | Kaiser kaiser_hmo-bariatric percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 20 | Kaiser kaiser_hmo-gcs percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 21 | Kaiser kaiser_hmo-gpg/noas percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 22 | Kaiser kaiser_hmo-gynonc percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 23 | Kaiser kaiser_hmo-melanoma percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 24 | Kaiser kaiser_hmo-naps/cvg/npcps/ups percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 25 | Kaiser kaiser_hmo-vasc surg percent of total billed charges · outpatientfrom % of charges | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
Last updated: Feb 14, 2026
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