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
Clovis, CA
See all hospitals reporting HCPCS A9612 →Price type
Clovis Community Medical Center’s median price of $424 is 299% above the median hospital's median price ($106), higher than 91% 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: 8 payers, 18 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 hmoppo facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna medicare hmo for chp facility · fee schedule · outpatient | $501 | $501 | $293 | 59% | — | $208 – $794 |
| 3 | Aetna medicare hmo for non-chp facility · fee schedule · outpatient | $501 | $501 | $293 | 59% | — | $208 – $794 |
| 4 | Aetna ppo facility · fee schedule · outpatient | $501 | $501 | $293 | 59% | — | $208 – $794 |
| 5 | Blue Cross Blue Shield epn facility · fee schedule · outpatient | $553 | $553 | $324 | 59% | — | $229 – $877 |
| 6 | Aetna hmoposppo facility · fee schedule · outpatient | $572 | $572 | $335 | 59% | — | $237 – $907 |
| 7 | Aetna qualified health plan facility · fee schedule · outpatient | $580 | $580 | $339 | 59% | — | $240 – $919 |
| 8 | UnitedHealthcare hmo facility · fee schedule · outpatient | $656 | $656 | $384 | 59% | — | $272 – $1.0k |
| 9 | UnitedHealthcare ppo facility · fee schedule · outpatient | $656 | $656 | $384 | 59% | — | $272 – $1.0k |
| 10 | Cigna hmo facility · fee schedule · outpatient | $695 | $695 | $407 | 59% | — | $288 – $1.1k |
| 11 | Cigna ppo facility · fee schedule · outpatient | $695 | $695 | $407 | 59% | — | $288 – $1.1k |
| 12 | Blue Cross Blue Shield hmopos facility · fee schedule · outpatient | $699 | $699 | $409 | 59% | — | $290 – $1.1k |
| 13 | Blue Cross Blue Shield epoppo facility · fee schedule · outpatient | $712 | $712 | $417 | 59% | — | $295 – $1.1k |
| 14 | Kaiser commercial facility · fee schedule · outpatient | $751 | $751 | $440 | 59% | — | $311 – $1.2k |
| 15 | Blue Cross Blue Shield exchange hmo facility · fee schedule · outpatient | $796 | $796 | $466 | 59% | — | $330 – $1.3k |
| 16 | MultiPlan ppo facility · fee schedule · outpatient | $939 | $939 | $550 | 59% | — | $389 – $1.5k |
| 17 | Phcs commercial facility · fee schedule · outpatient | $939 | $939 | $550 | 59% | — | $389 – $1.5k |
| 18 | Humana choice care ppo facility · fee schedule · outpatient | $1.1k | $1.1k | $623 | 59% | — | $441 – $1.7k |
Last updated: Sep 11, 2026
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