HCPCS A9604

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

Current code35 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Unknown: The source file doesn't say which population this rate applies to.

Prices for HCPCS A9604 by hospital
HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$15,056$37,640
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$47,621$119,053
Highline Medical CenterBurienFile dated 2026-02-28—$6,749$22,102
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$25,860$64,651
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$25,860$64,651
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$25,860$64,651
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$25,860$64,651
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$47,621$119,053
St Anthony HospitalGig HarborFile dated 2026-02-28—$6,722$22,102
St Clare HospitalLakewoodFile dated 2026-02-28—$6,371$22,102
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$7,810$22,102
St Francis Community HospitalFederal WayFile dated 2026-02-28—$6,936$22,102
St Joseph Medical CenterTacomaFile dated 2026-02-28—$7,320$22,102
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$9,755$22,102
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$25,860$64,651
Virginia Mason Medical CenterSeattle—$15,137$29,680

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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