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
$259
Median
$102
High
$6.6k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
301 hospitals; the 90th percentile is 13.3× 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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401 hospital rates
iThe hospitals that file a Molina 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 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $103 | $58 | 56% | 94 | $43 – $214 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $75 | $42 | 56% | 74 | $31 – $155 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $84 | $47 | 56% | 24 | $35 – $175 |
| 4 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $140 | $181 | $75 | 41% | 20–47 | $134 – $310 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $84 | $47 | 56% | 13 | $35 – $175 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $75 | $42 | 56% | 13 | $31 – $155 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $84 | $47 | 56% | 5–50 | $35 – $175 |
| 8 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $178 | $184 | $116 | 63% | 3–30 | $75 – $421 |
| 9 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $337 | $337 | $61 | 18% | 2–20 | $270 – $450 |
| 10 | Covenant Medical Center Inc Saginaw, MI facility · other · outpatient | 1 | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 11 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 12 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $216 | $216 | — | — | 1–10 | $216 – $216 |
| 13 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $216 | $216 | — | — | 1–10 | $216 – $216 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $40 | $43 | $6 | 13% | 1–10 | $39 – $54 |
| 15 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · inpatient | 1 | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 16 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 2 | $224 | $224 | $39 | 18% | 1–10 | $184 – $263 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $0 | 0% | — | $37 – $37 |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $22 | $22 | $0 | 0% | — | $22 – $22 |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $17 | $2 | 12% | — | $15 – $20 |
| 22 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 24 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 25 | Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
← Payers reporting HCPCS Q9957 · Snapshot 20261111T120946Z-9134e7f7