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
Seneca, PA
See all hospitals reporting HCPCS A9604 →Price type
UPMC Northwest’s median price of $5.5k is 34% below the median hospital's median price ($8.4k), higher than 35% 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: 7 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 ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 2 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 3 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 4 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 5 | Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 6 | Aetna medicare facility · fee schedule · outpatient | $4.5k | $4.5k | $43 | 1% | — | $4.4k – $4.5k |
| 7 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 8 | Highmark medicare facility · fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 9 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 11 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 12 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 13 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 14 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 15 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 16 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 17 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 18 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 19 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 20 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 21 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 22 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 23 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 24 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 25 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $19.1k | $19.1k | — | — | — | $19.1k – $19.1k |
Last updated: Mar 6, 2026
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