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
$0
Average
$173
Median
$47
High
$585
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 21.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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15 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $546 | $1.2k | 220% | — | $37 – $4.2k |
| 2 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 4 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 5 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 6 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 7 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $54 | $51 | $21 | 41% | — | $24 – $75 |
| 8 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $430 | $949 | 220% | — | $29 – $3.3k |
| 9 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $585 | $1.3k | 221% | — | $39 – $4.5k |
| 10 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $365 | $822 | 225% | — | $23 – $3.1k |
| 11 | St. Joseph's Mercy Hospital, Centerville Centerville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $304 | $671 | 220% | — | $20 – $2.4k |
| 12 | St. Vincent Regional Medical Center Santa Fe, NM fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 13 | The Methodist Hospitals, Inc. Gary, IN facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 15 | University Medical Center of Southern Nevada Las Vegas, NV fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
← Payers reporting HCPCS A4605 · Snapshot 20261111T120946Z-9134e7f7