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 LIPID MICROSPHERES 0.65 MG/ML INTRAVENOUS SUSP [150848]
Arlington, TX
See all hospitals reporting HCPCS Q9957 →Price type
AMH Cath Labs LLC’s median price of $217 is 47% above the median hospital's median price ($148), higher than 60% of the 1,890 hospitals reporting HCPCS Q9957. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $34 | $34 | $0 | 0% | — | $34 – $34 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $34 | $34 | $0 | 0% | — | $34 – $34 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $0 | 0% | — | $36 – $36 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $37 | $37 | $0 | 0% | — | $37 – $37 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $38 | $38 | $0 | 0% | — | $38 – $38 |
| 6 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $133 | $133 | $0 | 0% | — | $133 – $133 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $158 | $158 | $0 | 0% | — | $158 – $158 |
| 8 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $178 | $178 | $0 | 0% | — | $177 – $178 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 10 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $199 | $199 | $0 | 0% | — | $199 – $199 |
| 11 | Blue Cross Blue Shield exchange fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $211 | $211 | $0 | 0% | — | $211 – $211 |
| 13 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $211 | $211 | $0 | 0% | — | $211 – $211 |
| 14 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $213 | $213 | $0 | 0% | — | $213 – $213 |
| 15 | Blue Cross Blue Shield ppo fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $268 | $268 | $0 | 0% | — | $268 – $268 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $269 | $269 | $0 | 0% | — | $268 – $269 |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $270 | $270 | $0 | 0% | — | $270 – $270 |
| 19 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $270 | $270 | $0 | 0% | — | $270 – $270 |
| 20 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $287 | $287 | $0 | 0% | — | $287 – $287 |
| 21 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $335 | $335 | $0 | 0% | — | $335 – $336 |
| 22 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $335 | $335 | $0 | 0% | — | $335 – $336 |
| 23 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $363 | $363 | $0 | 0% | — | $362 – $363 |
| 24 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $363 | $363 | $0 | 0% | — | $362 – $363 |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $888 | $888 | — | — | — | $888 – $888 |
Last updated: Apr 21, 2026
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