Every billing code / HCPCS A9604 / Tacoma General Allenmore Hospital
HCPCS A9604 at Tacoma General Allenmore Hospital
Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
Tacoma General Allenmore Hospital, Tacoma
Description from CMS's HCPCS Level II code file.
What Tacoma General Allenmore Hospital publishes for this code: as an outpatient
Tacoma General Allenmore Hospital’s prices for HCPCS A9604, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $3,160 – $79,91320 plans | — |
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| Medicare AdvantageInsurer rates | $3,097 – $3,4067 plans | — |
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| Medicaid managed careInsurer rates | $9,401 – $10,1535 plans | — |
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| Cash pricePaying yourself, without insurance | $25,860 | — |
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| List priceBefore any discount; few people pay it | $64,651 | — |
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Lowest and highest amounts Tacoma General Allenmore Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.
What Tacoma General Allenmore Hospital publishes for this code: during a hospital stay
Tacoma General Allenmore Hospital’s prices for HCPCS A9604, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $38,144 – $47,1953 plans | — |
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| Cash pricePaying yourself, without insurance | $25,860 | — |
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| List priceBefore any discount; few people pay it | $64,651 | — |
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Lowest and highest amounts Tacoma General Allenmore Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS A9604 at Tacoma General Allenmore Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The service | — | The price above |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS A9604 at every Washington hospital, with Medicare’s reference amounts.