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
PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP
Low
$0
Average
$210
Median
$110
High
$2.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
714 hospitals; the 90th percentile is 10.9× 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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1,025 hospital rates
iThe hospitals that file a Aetna 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $343 | $444 | $232 | 52% | 120 | $250 – $895 |
| 2 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $125 | $9 | 7% | 52–61 | $116 – $133 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $448 | $448 | — | — | 16 | $448 – $448 |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $448 | $448 | — | — | 16 | $448 – $448 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $419 | $419 | — | — | 14–140 | $419 – $419 |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $63 | $32 | 51% | 13–130 | $51 – $173 |
| 7 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 2–20 | $63 – $63 |
| 8 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $720 | $551 | $219 | 40% | 2–20 | $278 – $750 |
| 9 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $59 | — | — | 2–20 | $59 – $59 |
| 10 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | $4 | 5% | 2–20 | $72 – $80 |
| 11 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | $207 | 35% | 2–20 | $392 – $806 |
| 12 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | $207 | 35% | 2–20 | $392 – $806 |
| 13 | North Memorial Health Care Robbinsdale, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $174 | $174 | $3 | 2% | 2–20 | $171 – $178 |
| 14 | Pike Health Services Inc Waverly, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | $4 | 5% | 2–20 | $72 – $80 |
| 15 | Sanford USD Medical Center Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $354 | $4 | 1% | 2–20 | $350 – $358 |
| 16 | Spencer Municipal Hospital Spencer, IA percent of total billed charges · outpatientfrom % of charges | 2 | $242 | $242 | $7 | 3% | 2–20 | $236 – $249 |
| 17 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $626 | $626 | — | — | 1–10 | $626 – $626 |
| 18 | Appalachian Regional Healthcare, Inc. Williamson, KY percent of total billed charges · bothfrom % of charges | 1 | $813 | $813 | — | — | 1–10 | $813 – $813 |
| 19 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · inpatientfrom % of charges | 1 | $483 | $483 | — | — | 1–10 | $483 – $483 |
| 20 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 1 | $483 | $483 | — | — | 1–10 | $483 – $483 |
| 21 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $258 | $256 | $24 | 9% | 1–10 | $228 – $289 |
| 22 | Nicholas H. Noyes Memorial Hospital Dansville, NY percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 23 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 24 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 25 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
← Payers reporting HCPCS Q9956 · Snapshot 20261111T120946Z-9134e7f7