HCPCS A9604 at Capital Medical Center

Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries

Capital Medical Center, Olympia

Description from CMS's HCPCS Level II code file.

What Capital Medical Center publishes for this code: as an outpatient

Capital Medical Center’s prices for HCPCS A9604, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$3,160 – $110,63219 plans	—
Medicare AdvantageInsurer rates	$3,097 – $3,4066 plans	—
Medicaid managed careInsurer rates	$9,884 – $14,6445 plans	—
Cash pricePaying yourself, without insurance	$15,056	—
List priceBefore any discount; few people pay it	$37,640	—

Lowest and highest amounts Capital Medical Center 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 Capital Medical Center publishes for this code: during a hospital stay

Capital Medical Center’s prices for HCPCS A9604, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$30,112 – $31,9942 plans	—
Cash pricePaying yourself, without insurance	$15,056	—
List priceBefore any discount; few people pay it	$37,640	—

Lowest and highest amounts Capital Medical Center 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 Capital Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

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.