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 SM-153 LEXIDRO 150mCi
Pittsburgh, PA
See all hospitals reporting HCPCS A9604 →Price type
UPMC Mercy’s median price of $4.7k is 44% below the median hospital's median price ($8.4k), higher than 26% 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: 6 payers, 26 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 neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 2 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 3 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 4 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 5 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 7 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 9 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 10 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 11 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 12 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 14 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.5k | $4.5k | $894 | 20% | — | $3.6k – $5.4k |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | $894 | 20% | — | $3.6k – $5.4k |
| 17 | Aetna medicare facility · fee schedule · outpatient | $4.6k | $4.6k | $108 | 2% | — | $4.5k – $4.7k |
| 18 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 19 | Highmark medicare facility · fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 20 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · inpatientfrom % of charges | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 21 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 22 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 23 | Highmark managed care - social mission facility · fee schedule · outpatient | $20.9k | $20.9k | — | — | — | $20.9k – $20.9k |
| 24 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $21.5k | $21.5k | — | — | — | $21.5k – $21.5k |
| 25 | Highmark managed care facility · fee schedule · outpatient | $28.0k | $28.0k | — | — | — | $28.0k – $28.0k |
Last updated: Mar 6, 2026
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