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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $15,056 | $37,640 |
| Deaconess Medical Center | — | $47,621 | $119,053 |
| Highline Medical Center | — | $6,749 | $22,102 |
| Mary Bridge Children's Hospital | — | $25,860 | $64,651 |
| MultiCare Auburn Medical Center | — | $25,860 | $64,651 |
| MultiCare Covington Medical Center | — | $25,860 | $64,651 |
| MultiCare Good Samaritan Hospital | — | $25,860 | $64,651 |
| MultiCare Valley Hospital | — | $47,621 | $119,053 |
| St Anthony Hospital | — | $6,722 | $22,102 |
| St Clare Hospital | — | $6,371 | $22,102 |
| St Elizabeth Hospital | $6,189 – $7,331 | $7,810 | $22,102 |
| St Francis Community Hospital | — | $6,936 | $22,102 |
| St Joseph Medical Center | — | $7,320 | $22,102 |
| St Michael Medical Center | — | $9,755 | $22,102 |
| Tacoma General Allenmore Hospital | — | $25,860 | $64,651 |
| Virginia Mason Medical Center | — | $15,137 | $29,680 |
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