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
$157
Median
$11
High
$2.9k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 10.4× 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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42 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $147 | $144 | $24 | 17% | 26–35 | $117 – $180 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 3 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 4 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 5 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 6 | Central Washington Health Services Association Wenatchee, WA fee schedule · both | 4 | $30 | $28 | $5 | 19% | — | $15 – $30 |
| 7 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $11 | $11 | $2 | 17% | — | $9 – $13 |
| 10 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 3 | $9 | $11 | $2 | 17% | — | $9 – $13 |
| 11 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 3 | $9 | $11 | $2 | 17% | — | $9 – $13 |
| 12 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $9 | $9 | $1 | 11% | — | $9 – $11 |
| 13 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 3 | $15 | $16 | $5 | 34% | — | $9 – $22 |
| 14 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 3 | $14 | $13 | $3 | 20% | — | $9 – $15 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 16 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $9 | $9 | $1 | 11% | — | $9 – $11 |
| 17 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 21 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 22 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
← Payers reporting HCPCS P9612 · Snapshot 20261111T120946Z-9134e7f7