Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SYSTEM SUCTION CLOSED 12FX4
Low
$16
Average
$220
Median
$183
High
$585
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
51 payers; the 90th percentile is 22.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +12 other terms | 248 | $23 | $36 | $39 | 108% | — | $11 – $180 |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 234 | $24 | $19 | $7 | 37% | — | $1 – $27 |
| 3 | Aetna fee schedule · outpatient · +14 other terms | 228 | $24 | $26 | $14 | 54% | — | $3 – $140 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +12 other terms | 181 | $24 | $27 | $9 | 35% | — | $0 – $75 |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 171 | $24 | $25 | $4 | 16% | — | $23 – $46 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 151 | $23 | $23 | $0 | 2% | — | $22 – $25 |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $24 | $24 | $1 | 3% | — | $23 – $25 |
| 8 | Molina fee schedule · outpatient · +9 other terms | 89 | $34 | $32 | $13 | 39% | — | $19 – $61 |
| 9 | Cigna fee schedule · outpatient · +12 other terms | 61 | $24 | $26 | $7 | 25% | — | $22 – $58 |
| 10 | Superior Healthplan fee schedule · outpatient | 39 | $25 | $25 | — | — | — | $25 – $25 |
| 11 | Anthem fee schedule · outpatient · +13 other terms | 36 | $23 | $24 | $3 | 11% | — | $22 – $38 |
| 12 | Clover fee schedule · outpatient · +2 other terms | 32 | $24 | $24 | $1 | 3% | — | $23 – $25 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $22 | $22 | $6 | 29% | — | $16 – $80 |
| 14 | Kaiser fee schedule · outpatient · +6 other terms | 24 | $24 | $23 | $1 | 3% | — | $22 – $24 |
| 15 | Optum fee schedule · outpatient · +4 other terms | 24 | $23 | $27 | $12 | 42% | — | $22 – $58 |
| 16 | Oscar fee schedule · outpatient · +2 other terms | 24 | $23 | $24 | $1 | 3% | — | $23 – $25 |
| 17 | Amerihealth Caritas fee schedule · outpatient · +5 other terms | 16 | $28 | $28 | $1 | 2% | — | $27 – $28 |
| 18 | Caresource fee schedule · outpatient · +5 other terms | 16 | $23 | $23 | $2 | 7% | — | $16 – $23 |
| 19 | Medicare fee schedule · outpatient · +2 other terms | 15 | $22 | $22 | $0 | 0% | — | $22 – $23 |
| 20 | Medcost facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 14 | $414 | $392 | $928 | 236% | — | $14 – $4.6k |
| 21 | Wellmark fee schedule · both · +6 other terms | 13 | $22 | $22 | $1 | 4% | — | $17 – $22 |
| 22 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $20 | $13 | $11 | 84% | — | $0 – $25 |
| 23 | Bcbs Nj fee schedule · outpatient | 12 | $23 | $49 | $34 | 68% | — | $23 – $101 |
| 24 | Highmark fee schedule · outpatient · +7 other terms | 11 | $24 | $25 | $9 | 36% | — | $11 – $55 |
| 25 | Tricare fee schedule · +4 other terms | 11 | $21 | $23 | $6 | 24% | — | $20 – $40 |
← Hospitals reporting HCPCS A4605 · Snapshot 20261111T120946Z-9134e7f7