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
$186
Median
$95
High
$2.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
229 hospitals; the 90th percentile is 7.9× 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.
Filter by billing methodology
Filter by billing class
389 hospital rates
iThe hospitals that file a Anthem 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 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 2 | $379 | $379 | $35 | 9% | 123 | $345 – $414 |
| 2 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · inpatientfrom % of charges | 2 | $379 | $379 | $35 | 9% | 52 | $345 – $414 |
| 3 | St Josephs Community Hospital of West Bend Inc West Bend, WI percent of total billed charges · inpatientfrom % of charges | 2 | $379 | $379 | $35 | 9% | 35 | $345 – $414 |
| 4 | Coshocton Regional Medical Center Coshocton, OH percent of total billed charges · outpatientfrom % of charges | 1 | $264 | $264 | — | — | 2–20 | $264 – $264 |
| 5 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | $2 | 5% | 2–20 | $41 – $45 |
| 6 | Pike Health Services Inc Waverly, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | $5 | 5% | 2–20 | $93 – $103 |
| 7 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 8 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 9 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $934 | $934 | — | — | 1–10 | $934 – $934 |
| 10 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 11 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 12 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $27 | $45 | $29 | 63% | — | $23 – $85 |
| 16 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 17 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $154 | $154 | $1 | 0% | — | $154 – $155 |
| 18 | ARH Mary Breckinridge Health Services, Inc Martin, KY fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 19 | ARH Tug Valley Health Services, Inc. Paintsville, KY fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 20 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 21 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 22 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $262 | $262 | — | — | — | $262 – $262 |
| 23 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $46 | $46 | $6 | 12% | — | $40 – $52 |
| 24 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $41 | $41 | $0 | 1% | — | $41 – $42 |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 3 | $33 | $33 | — | — | — | $33 – $33 |
← Payers reporting HCPCS Q9956 · Snapshot 20261111T120946Z-9134e7f7