HCPCS A9604
Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
Current code35 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $3,160 – $110,632 | $15,056 | $37,640 |
| Deaconess Medical Center | $3,160 – $86,909 | $47,621 | $119,053 |
| Harborview Medical Center | $5,056 – $6,862 | — | — |
| Highline Medical Center | $4,315 – $37,580 | $6,749 | $22,102 |
| Island Hospital | $5,906 – $6,644 | — | — |
| Kadlec Regional Medical Center | $5,340 – $39,007 | — | — |
| Legacy Salmon Creek Medical Center | $6,320 – $25,890 | — | — |
| Mary Bridge Children's Hospital | $3,160 – $178,200 | $25,860 | $64,651 |
| MultiCare Auburn Medical Center | $3,160 – $84,918 | $25,860 | $64,651 |
| MultiCare Covington Medical Center | $3,160 – $84,918 | $25,860 | $64,651 |
| MultiCare Good Samaritan Hospital | $3,160 – $84,918 | $25,860 | $64,651 |
| MultiCare Valley Hospital | $3,160 – $85,718 | $47,621 | $119,053 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $3,476 – $127,378 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5,340 – $39,698 | — | — |
| Providence Centralia Hospital | $5,340 – $49,881 | — | — |
| Providence Holy Family Hospital | $3,792 – $25,890 | — | — |
| Providence Regional Medical Center Everett | $3,792 – $40,561 | — | — |
| Providence St Mary Medical Center | $5,056 – $34,520 | — | — |
| Providence St Peter Hospital | $2,686 – $53,506 | — | — |
| St Anthony Hospital | $4,315 – $51,662 | $6,722 | $22,102 |
| St Clare Hospital | $4,315 – $51,662 | $6,371 | $22,102 |
| St Elizabeth Hospital | $7,360 – $51,662 | $7,810 | $22,102 |
| St Francis Community Hospital | $4,315 – $51,662 | $6,936 | $22,102 |
| St Joseph Medical Center | $4,315 – $51,662 | $7,320 | $22,102 |
| St Michael Medical Center | $10,057 – $81,346 | $9,755 | $22,102 |
| Swedish Edmonds Hospital | $4,740 – $39,525 | — | — |
| Swedish Issaquah | $4,740 – $50,054 | — | — |
| Swedish Medical Center | $4,740 – $50,054 | — | — |
| Swedish Medical Center / Cherry Hill | $4,740 – $39,525 | — | — |
| Tacoma General Allenmore Hospital | $3,160 – $79,913 | $25,860 | $64,651 |
| University of Washington Medical Ctr | $5,056 – $27,616 | — | — |
| Virginia Mason Medical Center | $4,315 – $51,124 | $15,137 | $29,680 |
| Wellfound Behavioral Health Hospital | $7,974 | — | — |
| Yakima Valley Memorial | $4,955 – $63,861 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $3,160 (APC 1295)
- Surgery center payment (national)
- $3,160