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
$208
Median
$64
High
$7.2k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
465 hospitals; the 90th percentile is 27.5× 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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695 hospital rates
iThe hospitals that file a First Health 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 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 2 | $12 | $13 | $4 | 32% | 2–20 | $9 – $19 |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 3 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 9 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 10 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 20 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 21 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 22 | Affinity Hospital LLC Birmingham, AL facility · other · outpatient | 1 | $18 | $18 | $8 | 43% | — | $10 – $26 |
| 23 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | $10 | 43% | — | $13 – $34 |
| 24 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $174 | $174 | $48 | 28% | — | $125 – $222 |
| 25 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | $48 | 28% | — | $125 – $222 |
← Payers reporting HCPCS P9612 · Snapshot 20261111T120946Z-9134e7f7