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
PR INJ PERFLUTREN LIP MICROS,ML
Low
$33
Average
$132
Median
$79
High
$763
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 4.7× 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
22 hospital rates
iThe hospitals that file a Excellus 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 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $410 | $410 | — | — | 1–10 | $410 – $410 |
| 2 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $160 | $160 | $91 | 57% | — | $69 – $251 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $40 | $59 | $26 | 45% | — | $40 – $96 |
| 4 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $138 | $176 | $59 | 33% | — | $131 – $259 |
| 5 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 8 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 9 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 10 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 2 | $82 | $82 | $3 | 4% | — | $79 – $85 |
| 11 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $40 | $41 | $1 | 3% | — | $39 – $42 |
| 12 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $64 | $64 | $23 | 37% | — | $40 – $87 |
| 13 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $77 | $77 | $37 | 48% | — | $40 – $114 |
| 14 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both | 3 | $80 | $81 | $2 | 2% | — | $79 – $83 |
| 15 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · both | 2 | $84 | $84 | $2 | 2% | — | $82 – $86 |
| 16 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 17 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 4 | $43 | $99 | $96 | 97% | — | $43 – $265 |
| 18 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $40 | $66 | $36 | 55% | — | $40 – $117 |
| 19 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 2 | $118 | $118 | $77 | 66% | — | $40 – $195 |
| 20 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $31 | $31 | $9 | 28% | — | $22 – $39 |
| 21 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $22 | $27 | $14 | 51% | — | $13 – $45 |
| 22 | University of Vermont Medical Center Inc Colchester, VT professional · fee schedule · both | 3 | $40 | $41 | $1 | 2% | — | $40 – $42 |
← Payers reporting HCPCS Q9957 · Snapshot 20261111T120946Z-9134e7f7