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
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION
Low
$0
Average
$262
Median
$91
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
241 hospitals; the 90th percentile is 917.0× 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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326 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $853 | $853 | $163 | 19% | 20 | $690 – $1.0k |
| 2 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 3 | Allina Health Systems Shakopee, MN facility · other · outpatient | 2 | $75 | $76 | $16 | 21% | — | $56 – $100 |
| 4 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $101 | $16 | 16% | — | $76 – $127 |
| 5 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $86 | $91 | $14 | 16% | — | $75 – $111 |
| 6 | Allina Health Systems Owatonna, MN facility · other · outpatient | 2 | $75 | $76 | $16 | 21% | — | $56 – $100 |
| 7 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $101 | $16 | 16% | — | $76 – $127 |
| 8 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $92 | $14 | 15% | — | $77 – $111 |
| 9 | Allina Health Systems Cambridge, MN facility · other · outpatient | 2 | $75 | $76 | $16 | 21% | — | $56 – $100 |
| 10 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $101 | $16 | 16% | — | $76 – $127 |
| 11 | Allina Health Systems Faribualt, MN facility · other · outpatient | 2 | $75 | $76 | $16 | 21% | — | $56 – $100 |
| 12 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $101 | $16 | 16% | — | $76 – $127 |
| 13 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $118 | $118 | $11 | 9% | — | $107 – $129 |
| 14 | Allina Health Systems River Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $103 | $10 | 9% | — | $93 – $113 |
| 15 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $92 | $14 | 15% | — | $77 – $111 |
| 16 | Allina Health Systems Buffalo, MN facility · other · outpatient | 2 | $75 | $76 | $16 | 21% | — | $56 – $100 |
| 17 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $100 | $101 | $16 | 16% | — | $76 – $127 |
| 18 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 19 | Aurelia Osborn Fox Memorial Society Oneonta, NY facility · percent of total billed charges · outpatientfrom % of charges | 5 | $417 | $417 | — | — | — | $417 – $417 |
| 20 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $182 | $182 | $49 | 27% | — | $86 – $240 |
| 21 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $174 | $175 | $28 | 16% | — | $138 – $220 |
| 22 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $182 | $182 | $49 | 27% | — | $86 – $240 |
| 23 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 5 | $182 | $182 | $49 | 27% | — | $86 – $240 |
| 24 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $143 | $143 | $23 | 16% | — | $113 – $181 |
| 25 | Baylor Scott & White Medical Center - Austin Austin, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $143 | $143 | $23 | 16% | — | $113 – $181 |
← Payers reporting HCPCS A9612 · Snapshot 20261111T120946Z-9134e7f7