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
$10
Average
$266
Median
$168
High
$1.4k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 18.7× 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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75 hospital rates
iThe hospitals that file a First Health 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 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $12 | $10 | $5 | 52% | — | $1 – $14 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $20 | $217 | $478 | 220% | — | $15 – $1.7k |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $20 | $217 | $478 | 220% | — | $15 – $1.7k |
| 4 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $460 | $1.0k | 220% | — | $31 – $3.6k |
| 5 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $35 | $36 | $2 | 5% | — | $35 – $39 |
| 6 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $36 | $2 | 5% | — | $35 – $39 |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $417 | $1.1k | 271% | — | $38 – $4.3k |
| 8 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $12 | $10 | $5 | 52% | — | $1 – $14 |
| 9 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $306 | $663 | 217% | — | $18 – $2.4k |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $11 | $250 | $620 | 248% | — | $7 – $2.7k |
| 11 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $105 | $105 | $99 | 94% | — | $6 – $204 |
| 12 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $9 | $12 | $9 | 72% | — | $6 – $29 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $445 | $1.0k | 225% | — | $27 – $3.8k |
| 14 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $581 | $1.3k | 228% | — | $23 – $4.6k |
| 15 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $432 | $969 | 224% | — | $27 – $3.6k |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $30 | $347 | $744 | 214% | — | $22 – $2.5k |
| 17 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $53 | $574 | $1.3k | 220% | — | $38 – $4.4k |
| 18 | Mercy Medical Center - Dubuque Dubuque, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $48 | $517 | $1.2k | 222% | — | $35 – $4.0k |
| 19 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $514 | $1.1k | 221% | — | $35 – $4.0k |
| 20 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $513 | $1.2k | 225% | — | $32 – $4.3k |
| 21 | Mercy Medical Center - Newton Newton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $585 | $1.3k | 220% | — | $39 – $4.5k |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $544 | $1.2k | 221% | — | $37 – $4.2k |
| 23 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $469 | $1.1k | 242% | — | $15 – $4.2k |
| 24 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $467 | $1.1k | 243% | — | $15 – $4.2k |
| 25 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $469 | $1.1k | 242% | — | $15 – $4.2k |
← Payers reporting HCPCS A4605 · Snapshot 20261111T120946Z-9134e7f7