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
FOLEY IN&OUT UA ONLY
Low
$0
Average
$131
Median
$12
High
$17.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
999 hospitals; the 90th percentile is 17.7× 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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1,447 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $35 | $35 | $1 | 3% | 21–48 | $34 – $38 |
| 2 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 2 | $16 | $16 | $7 | 43% | 21–75 | $9 – $23 |
| 3 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $9 | $19 | $15 | 77% | 18–180 | $9 – $41 |
| 4 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 4 | $10 | $10 | $1 | 5% | 14 | $9 – $10 |
| 5 | Saline Memorial Hospital Benton, AR fee schedule · both | 4 | $11 | $10 | $1 | 6% | 4–40 | $9 – $11 |
| 6 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $5 | $6 | $2 | 33% | 3–30 | $3 – $8 |
| 7 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $5 | $6 | $2 | 33% | 3–30 | $3 – $8 |
| 8 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $5 | $6 | $2 | 33% | 3–30 | $3 – $8 |
| 9 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $5 | $6 | $2 | 33% | 3–30 | $3 – $8 |
| 10 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $5 | $6 | $2 | 33% | 3–30 | $3 – $8 |
| 11 | Brunswick Community Hospital, LLC Bolivia, NC percent of total billed charges · outpatientfrom % of charges | 3 | $80 | $60 | $28 | 47% | 3–30 | $20 – $80 |
| 12 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 5 | $10 | $15 | $11 | 73% | 3–30 | $10 – $39 |
| 13 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $53 | $15 | 29% | 3–30 | $42 – $74 |
| 14 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 3 | $42 | $46 | $6 | 12% | 3–30 | $42 – $54 |
| 15 | DIGNITY HEALTH Bakersfield, CA fee schedule · outpatient | 3 | $257 | $196 | $135 | 69% | 2–20 | $9 – $338 |
| 16 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 3 | $4 | $6 | $2 | 41% | 2–20 | $4 – $9 |
| 17 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 4 | $15 | $16 | $5 | 35% | 2–20 | $10 – $22 |
| 18 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $4 | $5 | $2 | 34% | 2–20 | $4 – $7 |
| 19 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $4 | $5 | $2 | 34% | 2–20 | $4 – $7 |
| 20 | Saint Luke’s of Garnett Garnett, KS percent of total billed charges · bothfrom % of charges | 5 | $97 | $97 | $18 | 18% | 2–20 | $75 – $123 |
| 21 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 22 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $2 | 11% | 1–10 | $17 – $22 |
| 23 | DIGNITY HEALTH Camarillo, CA fee schedule · outpatient | 3 | $144 | $117 | $80 | 68% | 1–10 | $9 – $198 |
| 24 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 30 | $31 | $30 | $14 | 45% | 1–10 | $9 – $49 |
| 25 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
← Payers reporting HCPCS P9612 · Snapshot 20261111T120946Z-9134e7f7