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
$37
Average
$162
Median
$121
High
$630
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 8.4× 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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16 hospital rates
iThe hospitals that file a Medicaid 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 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $105 | $105 | — | — | — | $105 – $105 |
| 3 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $532 | $532 | — | — | — | $532 – $532 |
| 4 | MINDEN MEDICAL CENTER MINDEN, LA percent of total billed charges · bothfrom % of charges | 16 | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 6 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 7 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 10 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $123 | $123 | $18 | 14% | — | $105 – $140 |
| 11 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $114 | $114 | $16 | 14% | — | $98 – $131 |
| 12 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 13 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 16 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 3 | $532 | $630 | $288 | 46% | — | $337 – $1.0k |
← Payers reporting HCPCS Q9956 · Snapshot 20261111T120946Z-9134e7f7