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
$1
Average
$553
Median
$89
High
$5.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 262.2× 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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66 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 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $136 | $117 | $34 | 29% | 1–10 | $69 – $145 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $1.3k | $1.3k | $991 | 76% | — | $310 – $2.3k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 7 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $3.6k | $3.6k | $2.8k | 77% | — | $840 – $6.4k |
| 8 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 15 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $77 | $77 | $1 | 2% | — | $76 – $78 |
| 16 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 17 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $1.2k | $1.2k | $862 | 74% | — | $310 – $2.0k |
| 18 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 19 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $810 | $810 | $24 | 3% | — | $786 – $834 |
| 20 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 21 | MINDEN MEDICAL CENTER MINDEN, LA percent of total billed charges · bothfrom % of charges | 16 | $45 | $45 | — | — | — | $45 – $45 |
| 22 | McLeod Health Dillon, SC fee schedule · both | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 23 | McLeod Health Cheraw, SC fee schedule · both | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 24 | McLeod Health Manning, SC fee schedule · both | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 25 | McLeod Health Florence, SC fee schedule · both | 1 | $79 | $79 | — | — | — | $79 – $79 |
← Payers reporting HCPCS Q9957 · Snapshot 20261111T120946Z-9134e7f7