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
$425
Average
$3.3k
Median
$1.3k
High
$16.9k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 10.2× 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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29 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $580 | $580 | — | — | 1–10 | $580 – $580 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $1.3k | $1.3k | $752 | 59% | — | $528 – $2.0k |
| 3 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $1.4k | $1.4k | $800 | 59% | — | $562 – $2.2k |
| 4 | Central Washington Health Services Association Wenatchee, WA fee schedule · both | 3 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 5 | Central Washington Health Services Association Wenatchee, WA other · both | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $1.3k | $1.3k | $262 | 20% | — | $893 – $1.6k |
| 8 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $1.3k | $1.3k | $262 | 20% | — | $893 – $1.6k |
| 9 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 10 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 11 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 12 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 13 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $1.3k | $1.3k | $262 | 20% | — | $893 – $1.6k |
| 14 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $1.3k | $1.2k | $179 | 15% | — | $893 – $1.3k |
| 15 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $1.3k | $1.3k | $262 | 20% | — | $893 – $1.6k |
| 16 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $1.3k | $1.2k | $179 | 15% | — | $893 – $1.3k |
| 17 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $1.3k | $1.2k | $179 | 15% | — | $893 – $1.3k |
| 18 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $580 | $580 | — | — | — | $580 – $580 |
| 20 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 23 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 24 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 25 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
← Payers reporting HCPCS A9595 · Snapshot 20261111T120946Z-9134e7f7