HCPCS A9612

FLUORESCEIN SODIUM IV SOLN 10% - as described in hospitals' own price files.

28hospitals publishing a price

$269median cash price

$0.92median typical insurance price

Hospital	Location	Cash price	Typical insurance	List price	Negotiated range
Crestwood Medical Center	Huntsville, AL	$0.24	$0.92	$1.31	$0.24 - $1.31
Swedish Medical Center / Cherry Hill	Seattle, WA	$146	-	$305	-
Swedish Issaquah	Issaquah, WA	$146	-	$305	-
Swedish Edmonds Hospital	Edmonds, WA	$191	-	$398	-
Providence Cedars Sinai Tarzana Medical Center	Tarzana, CA	$206	-	$589	-
Saint John'S Health Center	Santa Monica, CA	$206	-	$589	-
Providence St. Joseph Hospital	Eureka, CA	$215	-	$447	-
Kadlec Regional Medical Center	Richland, WA	$216	-	$308	-
St. Patrick Hospital	Missoula, MT	$255	-	$318	-
Providence Redwood Memorial Hospital	Fortuna, CA	$261	-	$511	-
Providence Queen Of The Valley Medical Center	Napa, CA	$261	-	$511	-
Providence Santa Rosa Memorial Hospital	Santa Rosa, CA	$261	-	$511	-
Providence Little Company Of Mary Med Ctr Torrance	Torrance, CA	$262	-	$750	-
Providence Holy Cross Medical Center	Mission Hills, CA	$269	-	$769	-
Providence Saint Joseph Medical Ctr	Burbank, CA	$269	-	$769	-
Providence Seaside Hospital	Seaside, OR	$289	-	$386	-
Providence St. Vincent Medical Center	Portland, OR	$289	-	$386	-
Providence Portland Medical Center	Portland, OR	$289	-	$386	-
Providence St. Peter Hospital	Olympia, WA	$290	-	$559	-
Providence Centralia Hospital	Centralia, WA	$338	-	$651	-
Providence Alaska Medical Center	Anchorage, AK	$339	-	$434	-
Providence Newberg Medical Center	Newberg, OR	$368	-	$491	-
Providence Medford Medical Center	Medford, OR	$377	-	$503	-
Providence St. Mary Medical Center	Walla Walla, WA	$392	-	$560	-
Covenant Hospital Plainview	Plainview, TX	$421	-	$1,003	-
Covenant Health Hobbs Hospital	Hobbs, NM	$536	-	$1,276	-
Covenant Medical Center	Lubbock, TX	$549	-	$1,308	-
Providence Holy Family Hospital	Spokane, WA	$586	-	$837	-

Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.