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
$457
Median
$242
High
$851
Each hospital's average Regence rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 4.8× 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.
Filter by billing methodology
Filter by billing class
31 hospital rates
iThe hospitals that file a Regence 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 | 2 | $258 | $258 | $73 | 28% | — | $185 – $331 |
| 2 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 2 | $258 | $258 | $73 | 28% | — | $185 – $331 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 4 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $860 | $852 | $62 | 7% | — | $756 – $930 |
| 5 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $863 | $850 | $72 | 8% | — | $756 – $930 |
| 6 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · inpatientfrom % of charges | 6 | $857 | $837 | $62 | 7% | — | $756 – $930 |
| 7 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $756 | $794 | $93 | 12% | — | $664 – $930 |
| 8 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $860 | $852 | $62 | 7% | — | $756 – $930 |
| 9 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $863 | $850 | $72 | 8% | — | $756 – $930 |
| 10 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $228 | $225 | $16 | 7% | — | $200 – $246 |
| 11 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $228 | $225 | $19 | 8% | — | $200 – $246 |
| 12 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $228 | $226 | $15 | 7% | — | $204 – $246 |
| 13 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $228 | $226 | $17 | 8% | — | $204 – $246 |
| 14 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $211 | $209 | $15 | 7% | — | $185 – $228 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $212 | $208 | $18 | 8% | — | $185 – $228 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $805 | $813 | $14 | 2% | — | $805 – $838 |
| 17 | IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT facility · percent of total billed charges · outpatientfrom % of charges | 4 | $805 | $813 | $14 | 2% | — | $805 – $838 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $228 | $225 | $16 | 7% | — | $200 – $246 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $228 | $225 | $19 | 8% | — | $200 – $246 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital Spanish Fork, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $860 | $852 | $62 | 7% | — | $756 – $930 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital Spanish Fork, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $863 | $850 | $72 | 8% | — | $756 – $930 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital Provo, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $219 | $217 | $18 | 8% | — | $185 – $246 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital Provo, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $220 | $217 | $20 | 9% | — | $185 – $246 |
| 24 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · inpatientfrom % of charges | 8 | $393 | $393 | $230 | 59% | — | $163 – $622 |
| 25 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · outpatientfrom % of charges | 8 | $463 | $463 | $271 | 59% | — | $192 – $733 |
← Payers reporting HCPCS A9612 · Snapshot 20261111T120946Z-9134e7f7