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
$4
Average
$47
Median
$25
High
$699
Each hospital's average Molina rate, under the methodology and billing class chosen below.
151 hospitals; the 90th percentile is 5.5× 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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151 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $1 | 26% | — | $3 – $6 |
| 4 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $33 | $33 | $14 | 41% | — | $19 – $47 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $33 | $33 | $14 | 41% | — | $19 – $47 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $33 | $33 | $14 | 41% | — | $19 – $47 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 10 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 13 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 19 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $394 | $870 | 220% | — | $26 – $3.1k |
| 20 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 21 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 3 | $24 | $27 | $5 | 17% | — | $24 – $34 |
| 24 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 25 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting HCPCS A4605 · Snapshot 20261111T120946Z-9134e7f7