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
$138
Average
$2.0k
Median
$346
High
$15.1k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
108 hospitals; the 90th percentile is 25.7× 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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141 hospital rates
iThe hospitals that file a Optum 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 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $789 | $789 | — | — | 2–20 | $789 – $789 |
| 2 | Mayo Clinic Health System Fairmont 56031-4575 facility · other · both | 1 | $346 | $346 | — | — | 1–10 | $346 – $346 |
| 3 | Mayo Clinic Health System Red Wing 55066-2848 facility · other · both | 1 | $346 | $346 | — | — | 1–10 | $346 – $346 |
| 4 | Prairie Lakes Health Care System Inc. Watertown, SD fee schedule · both | 6 | $346 | $346 | — | — | 1–10 | $346 – $346 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 8 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $339 | $339 | — | — | — | $339 – $339 |
| 9 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 10 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $336 | $336 | $3 | 1% | — | $332 – $339 |
| 11 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 19 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 3 | $8.5k | $11.4k | $5.7k | 50% | — | $6.3k – $19.3k |
| 20 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $330 | $330 | — | — | — | $330 – $330 |
| 21 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $332 | $332 | — | — | — | $332 – $332 |
| 22 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 23 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 25 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 2 | $332 | $332 | — | — | — | $332 – $332 |
← Payers reporting HCPCS A9595 · Snapshot 20261111T120946Z-9134e7f7