NDC 99999-0006-09
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 (DEFINITY) IV SYRINGE (DILUTED BOLUS)
Reported by 14 hospitals in the network.
Based on 443–596 billing samples across every hospital reporting.
Low
$6
Average
$164
Median
$153
High
$348
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 14 hospitals; the 90th percentile is 37.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alegent Health Bergan Mercy Health System | Omaha, NE | $92 | $153 | $100 | 224–251 | $35 | $335 |
| 2 | Alegent Creighton Health | Omaha, NE | $92 | $152 | $100 | 134–206 | $35 | $335 |
| 3 | Alegent Health Immanuel Medical Center | Omaha, NE | $92 | $153 | $100 | 55–64 | $35 | $335 |
| 4 | Alegent Creighton Health | Papillion, NE | $92 | $152 | $100 | 27–45 | $35 | $335 |
| 5 | Alegent Health Bergan Mercy Health System | Council Bluffs, IA | $94 | $156 | $99 | 3–30 | $35 | $335 |
| 6 | Alegent Health Memorial Hospital, Schuyler | Schuyler, NE | $378 | $332 | $85 | — | $84 | $446 |
| 7 | Alegent Creighton Health | Plainview, NE | $378 | $348 | $60 | — | $240 | $533 |
| 8 | Alegent Health Bergan Mercy Health System | Omaha, NE | $92 | $159 | $105 | — | $45 | $335 |
| 9 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | Missouri Valley, IA | $378 | $321 | $93 | — | $138 | $386 |
| 10 | Alegent Health - Mercy Hospital, Corning Iowa | Corning, IA | $378 | $321 | $89 | — | $169 | $386 |
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