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
PIFLUFOLASTAT F 18 296 MBQ TO 370 MBQ (8 MCI TO 10 MCI) IV SYRINGE
Low
$125
Average
$1.9k
Median
$359
High
$11.6k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
63 hospitals; the 90th percentile is 26.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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68 hospital rates
iThe hospitals that file a Amerihealth Caritas rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 5 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 6 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 9 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 11 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 12 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 13 | Chilton Medical Center Pompton Plains, NJ other · both | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 14 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 15 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 16 | Hackettstown Medical Center Hackettstown, NJ other · both | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 17 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 18 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 19 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 20 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 21 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 22 | Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 23 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $497 | $497 | — | — | — | $497 – $497 |
| 24 | MISSION HOSPITAL Arden, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
← Payers reporting HCPCS A9595 · Snapshot 20261111T120946Z-9134e7f7