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
$115
Average
$290
Median
$209
High
$763
Each hospital's average Premera rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 4.7× 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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7 hospital rates
iThe hospitals that file a Premera 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 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 2 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 5 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 6 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 7 | The Mercy Hospital Inc Springfield, MA facility · fee schedule · both | 1 | $215 | $215 | — | — | — | $215 – $215 |
← Payers reporting HCPCS A9612 · Snapshot 20261111T120946Z-9134e7f7