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
FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION
Kalamazoo, MI
See all hospitals reporting HCPCS A9612 →Price type
Bronson Methodist Hospital’s median price of $134 is 26% above the median hospital's median price ($106), higher than 59% of the 455 hospitals reporting HCPCS A9612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 10 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 | Blue Cross Blue Shield complete facility · percent of total billed charges · outpatientfrom % of charges | $74 | $74 | $2 | 3% | — | $72 – $76 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $92 | $92 | $3 | 3% | — | $89 – $95 |
| 3 | Aetna american axle facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | $3 | 3% | — | $116 – $123 |
| 4 | Aetna american axle facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | $3 | 3% | — | $116 – $123 |
| 5 | Aetna new business (mi preferred) facility · percent of total billed charges · inpatientfrom % of charges | $120 | $120 | $3 | 3% | — | $116 – $123 |
| 6 | Aetna new business (mi preferred) facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | $3 | 3% | — | $116 – $123 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $157 | $157 | $5 | 3% | — | $152 – $161 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | $5 | 3% | — | $152 – $161 |
| 9 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $157 | $157 | $5 | 3% | — | $152 – $161 |
| 10 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | $5 | 3% | — | $152 – $161 |
Last updated: Aug 3, 2026
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