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
FLUORESCITE 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION
Eureka, IL
See all hospitals reporting HCPCS A9612 →Price type
Carle Eureka Hospital’s median price of $312 is 194% above the median hospital's median price ($106), higher than 86% of the 454 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: 7 payers, 16 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $107 | $190 | $141 | 74% | — | $74 – $389 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $107 | $190 | $141 | 74% | — | $74 – $389 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $107 | $190 | $141 | 74% | — | $74 – $389 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $241 | $428 | $318 | 74% | — | $167 – $876 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $241 | $428 | $318 | 74% | — | $167 – $876 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $241 | $428 | $318 | 74% | — | $167 – $876 |
| 7 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $241 | $428 | $318 | 74% | — | $167 – $876 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $257 | $457 | $339 | 74% | — | $179 – $935 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $329 | $584 | $434 | 74% | — | $228 – $1.2k |
| 10 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $331 | $587 | $436 | 74% | — | $230 – $1.2k |
| 11 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $332 | $590 | $438 | 74% | — | $231 – $1.2k |
| 12 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $354 | $629 | $467 | 74% | — | $246 – $1.3k |
| 13 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $354 | $629 | $467 | 74% | — | $246 – $1.3k |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $359 | $638 | $474 | 74% | — | $249 – $1.3k |
| 15 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $402 | $714 | $530 | 74% | — | $279 – $1.5k |
| 16 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $450 | $799 | $594 | 74% | — | $312 – $1.6k |
Last updated: Apr 15, 2026
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