Fluorescein dye injection for eye imaging at Allina Health Systems

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

fluorescein 500 mg/5 mL (10 ) Soln 5 mL VIAL

Rapids, MN

See all hospitals reporting HCPCS A9612 →

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $110 is 3% above the median hospital's median price ($106), higher than 51% of the 455 hospitals reporting HCPCS A9612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9612 at Allina Health Systems

Negotiated rates from the hospital’s own file: 8 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	UnitedHealthcare united healthcare (um) facility · case rate · outpatient	$0	$0	—	—	—	$0 – $0
2	Medicaid medicaid ma (m) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient	$0	$0	—	—	—	$0 – $0
4	Bcbs Mn bc pmap (amu) facility · percent of total billed charges · outpatientfrom % of charges	$41	$43	$7	15%	—	$36 – $51
5	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$46	$48	$7	15%	—	$41 – $58
6	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$51	$53	$8	15%	—	$45 – $64
7	Bcbs Mn bc premier (m u) facility · percent of total billed charges · outpatientfrom % of charges	$74	$78	$12	15%	—	$66 – $94
8	Bcbs Mn bc state health plan (mu) facility · percent of total billed charges · outpatientfrom % of charges	$75	$79	$12	15%	—	$66 – $95
9	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$81	$85	$13	15%	—	$71 – $102
10	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$86	$90	$14	15%	—	$76 – $109
11	Blue Cross Blue Shield bc aehp (mu) facility · percent of total billed charges · outpatientfrom % of charges	$88	$92	$14	15%	—	$77 – $111
12	Bcbs Mn bc high value/performance network (mu) facility · percent of total billed charges · outpatientfrom % of charges	$94	$99	$15	15%	—	$83 – $119
13	Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges	$102	$107	$16	15%	—	$90 – $129
14	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$125	$131	$20	15%	—	$110 – $159
15	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$134	$141	$22	15%	—	$118 – $170
16	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$160	$168	$26	15%	—	$141 – $203
17	Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges	$164	$172	$27	15%	—	$145 – $208
18	Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges	$171	$180	$28	15%	—	$151 – $217
19	Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges	$171	$180	$28	15%	—	$151 – $217
20	Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges	$180	$189	$29	15%	—	$159 – $229
21	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$183	$192	$30	15%	—	$161 – $232
22	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$192	$202	$31	15%	—	$169 – $244
23	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$192	$202	$31	15%	—	$169 – $244
24	Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges	$192	$202	$31	15%	—	$169 – $244

Last updated: Jun 17, 2026

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