Octafluoropropane microsphere injection, per milliliter

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PERFLUTREN PROTEIN-TYPE A MICROSPHERES 0.22 MG/ML INTRAVENOUS SUSP

Highmark pricing summary

Low

$41

Average

$197

Median

$49

High

$917

Highmark rate distribution

Filter by billing methodology

Filter by billing class

77 hospital rates

#		Plans
1	Nicholas H. Noyes Memorial Hospital Dansville, NY percent of total billed charges · outpatientfrom % of charges	2	$66	$66	$0	0%	2–20	$66 – $66
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	11	$45	$47	$5	12%	—	$39 – $52
3	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	11	$45	$47	$5	12%	—	$39 – $52
4	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	1	$48	$48	—	—	—	$48 – $48
5	Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
6	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges	3	$76	$76	$9	12%	—	$67 – $85
7	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	11	$45	$47	$5	12%	—	$39 – $52
8	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	11	$45	$47	$5	12%	—	$39 – $52
9	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$917	$917	—	—	—	$917 – $917
10	Children's Hospital of Philadelphia, The Philadelphia, PA fee schedule · both	1	$41	$41	—	—	—	$41 – $41
11	Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges	1	$87	$87	—	—	—	$87 – $87
12	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$917	$917	—	—	—	$917 – $917
13	Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges	2	$122	$122	—	—	—	$122 – $122
14	Davis Medical Center Elkins, WV professional · fee schedule · both	1	$48	$48	—	—	—	$48 – $48
15	ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient	4	$43	$43	$3	6%	—	$40 – $46
16	Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient	2	$45	$45	$4	9%	—	$41 – $49
17	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient	11	$45	$47	$5	12%	—	$39 – $52
18	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	11	$45	$47	$5	12%	—	$39 – $52
19	Hackettstown Medical Center Hackettstown, NJ other · outpatient	2	$917	$917	—	—	—	$917 – $917
20	Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both	1	$73	$73	$7	10%	—	$66 – $80
21	Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both	1	$73	$73	$7	10%	—	$66 – $80
22	Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both	1	$73	$73	$7	10%	—	$66 – $80
23	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient	11	$45	$47	$5	12%	—	$39 – $52
24	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient	11	$45	$47	$5	12%	—	$39 – $52
25	Lancaster General Health Lancaster, PA facility · other · outpatient	5	$167	$179	$46	26%	—	$121 – $252

Page 1 of 4

← Payers reporting HCPCS Q9956 · Snapshot 20261111T120946Z-9134e7f7

HCPCS Q9956