Code: A9604

Description:
Description: Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
RP SM 153 TX DS UPTO 150MCI
SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI
SM 153 LEXIDRONAM =<150 MCI
Hc Samarium 153, To 150mci Per Tx
Sm 153 lexidronam
Quadramet Inj Samarium 153
Related codes:
Code: A9600
STRONTIUM SR89 CL TX MCI
Code: A9605
SAMARIUM SM-153 LEXIDRONAMM TX PER 50 MCI
Code: A9606
RADIUMRA223 DCHL TX 1UCI
Florida
Hospital Address Code Price Last Updated
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze A9604 $4,311 [source] 4 years ago
Jay Hospital 14114 Alabama Street, Jay A9604 $6,806 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City A9604 $7,968 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach A9604 $10,598 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach A9604 $12,288 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares A9604 $13,782 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs A9604 $14,000 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach A9604 $14,605 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland A9604 $15,621 [source] 4 years ago
Baptist Hospital 1000 West Moreno St, Pensacola A9604 $16,390 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee A9604 $16,675 [source] 4 years ago
Putnam Community Medical Center 611 Zeagler Dr, Palatka A9604 $18,314 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton A9604 $20,352 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville A9604 $20,656 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami A9604 $21,209 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando A9604 $22,373 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula A9604 $23,427 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring A9604 $23,427 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth A9604 $23,842 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach A9604 $27,882 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale A9604 $31,817 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota A9604 $40,439 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka A9604 $40,679 [source] 4 years ago
Adventhealth Winter Garden 10987 Sheldon Rd Ste 100, Tampa A9604 $40,679 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee A9604 $40,679 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando A9604 $40,679 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando A9604 $40,679 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park A9604 $40,679 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills A9604 $47,215 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa A9604 $47,215 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills A9604 $47,215 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa A9604 $47,215 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa A9604 $47,215 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola A9604 $51,069 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami A9604 $98,707 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.