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
$24
Average
$169
Median
$161
High
$857
Each hospital's average Medica rate, under the methodology and billing class chosen below.
141 hospitals; the 90th percentile is 3.8× 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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251 hospital rates
iThe hospitals that file a Medica 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 | Lakeview Hospital Stillwater, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $91 | $101 | $51 | 51% | 54 | $43 – $178 |
| 2 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $357 | $357 | $138 | 39% | 48 | $219 – $495 |
| 3 | Fairview Health Services Edina, MN other · inpatient | 2 | $186 | $186 | $31 | 16% | 28–280 | $156 – $217 |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $48 | $48 | $3 | 7% | 28–280 | $45 – $52 |
| 5 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $156 | $156 | — | — | 14–140 | $156 – $156 |
| 6 | Fairview Health Services Princeton, MN other · inpatient | 1 | $202 | $202 | — | — | 14–140 | $202 – $202 |
| 7 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $128 | $164 | $116 | 71% | 12 | $45 – $355 |
| 8 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $134 | $161 | $103 | 64% | 12 | $52 – $324 |
| 9 | Hudson Hospital Hudson, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $116 | $129 | $91 | 71% | 2–20 | $41 – $313 |
| 10 | Olivia Hospital Olivia, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $287 | $329 | $245 | 75% | 2–20 | $98 – $835 |
| 11 | Avera Heart Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 12 | Avera Marshall Hospital Marshall, MN fee schedule · outpatient | 2 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 13 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | 1–10 | $39 – $39 |
| 14 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 4 | $77 | $95 | $41 | 43% | — | $63 – $165 |
| 15 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 4 | $77 | $95 | $41 | 43% | — | $63 – $165 |
| 16 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 4 | $77 | $95 | $41 | 43% | — | $63 – $165 |
| 17 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $77 | $95 | $41 | 43% | — | $63 – $165 |
| 18 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 4 | $77 | $95 | $41 | 43% | — | $63 – $165 |
| 19 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $119 | $112 | $16 | 14% | — | $81 – $125 |
| 20 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 8 | $119 | $106 | $32 | 30% | — | $35 – $134 |
| 21 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 7 | $119 | $117 | $16 | 14% | — | $81 – $134 |
| 22 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 8 | $119 | $106 | $32 | 30% | — | $35 – $134 |
| 23 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 6 | $119 | $115 | $17 | 14% | — | $81 – $134 |
| 24 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $119 | $112 | $16 | 14% | — | $81 – $125 |
| 25 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
← Payers reporting HCPCS Q9956 · Snapshot 20261111T120946Z-9134e7f7