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
$4
Average
$25
Median
$12
High
$183
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 2.8× 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
30 hospital rates
iThe hospitals that file a Carefirst 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 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 3 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 2 | $9 | $9 | $0 | 0% | — | $9 – $9 |
| 8 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 2 | $9 | $9 | $0 | 0% | — | $9 – $9 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Mercy Health Services-Iowa Corp. Mason City, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 12 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $197 | $197 | $26 | 13% | — | $171 – $224 |
| 18 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 19 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | Plymouth Medical Center Plymouth, IN facility · fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $28 | $28 | $17 | 63% | — | $10 – $45 |
| 22 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 23 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 25 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
← Payers reporting HCPCS P9612 · Snapshot 20261111T120946Z-9134e7f7