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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $3,097 – $3,406 | $15,056 | $37,640 |
| Deaconess Medical Center | $3,097 – $3,406 | $47,621 | $119,053 |
| Harborview Medical Center | $3,160 – $3,476 | — | — |
| Highline Medical Center | $4,803 – $5,523 | $6,749 | $22,102 |
| Island Hospital | $3,691 – $3,913 | — | — |
| Kadlec Regional Medical Center | $3,160 – $3,792 | — | — |
| Legacy Salmon Creek Medical Center | $3,255 – $3,539 | — | — |
| Mary Bridge Children's Hospital | $3,097 – $3,406 | $25,860 | $64,651 |
| MultiCare Auburn Medical Center | $3,097 – $3,406 | $25,860 | $64,651 |
| MultiCare Covington Medical Center | $3,097 – $3,406 | $25,860 | $64,651 |
| MultiCare Good Samaritan Hospital | $3,097 – $3,406 | $25,860 | $64,651 |
| MultiCare Valley Hospital | $3,190 – $3,406 | $47,621 | $119,053 |
| Olympic Medical Center | $3,876 – $4,983 | — | — |
| Overlake Hospital Medical Center & Clinics | $3,160 – $3,286 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,160 – $3,792 | — | — |
| Providence Centralia Hospital | $3,160 – $5,056 | — | — |
| Providence Holy Family Hospital | $3,160 – $3,476 | — | — |
| Providence Regional Medical Center Everett | $3,160 – $3,476 | — | — |
| Providence St Mary Medical Center | $3,160 – $3,476 | — | — |
| Providence St Peter Hospital | $3,160 – $5,056 | — | — |
| St Anthony Hospital | $4,891 – $5,624 | $6,722 | $22,102 |
| St Clare Hospital | $4,891 – $5,624 | $6,371 | $22,102 |
| St Elizabeth Hospital | $3,978 – $4,862 | $7,810 | $22,102 |
| St Francis Community Hospital | $4,803 – $5,523 | $6,936 | $22,102 |
| St Joseph Medical Center | $4,891 – $21,632 | $7,320 | $22,102 |
| St Michael Medical Center | $5,029 – $21,443 | $9,755 | $22,102 |
| Swedish Edmonds Hospital | $3,160 – $3,792 | — | — |
| Swedish Issaquah | $3,160 – $3,792 | — | — |
| Swedish Medical Center | $3,160 – $3,792 | — | — |
| Swedish Medical Center / Cherry Hill | $3,160 – $3,792 | — | — |
| Tacoma General Allenmore Hospital | $3,097 – $3,406 | $25,860 | $64,651 |
| University of Washington Medical Ctr | $3,160 – $3,476 | — | — |
| Virginia Mason Medical Center | $3,020 – $4,531 | $15,137 | $29,680 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $3,097 – $3,468 | — | — |
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