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 Lip Micro 2.2MG/2ML
De Smet, SD
See all hospitals reporting HCPCS Q9957 →Price type
Avera DeSmet’s median price of $621 is 320% above the median hospital's median price ($148), higher than 87% of the 1,889 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: 4 payers, 10 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 | Medica com fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Medica ind fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 4 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $558 | $558 | — | — | — | $558 – $558 |
| 5 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $558 | $558 | — | — | — | $558 – $558 |
| 6 | Medica com percent of total billed charges · inpatientfrom % of charges | $590 | $590 | — | — | — | $590 – $590 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $652 | $652 | — | — | — | $652 – $652 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $652 | $652 | — | — | — | $652 – $652 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $726 | $726 | — | — | — | $726 – $726 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $726 | $726 | — | — | — | $726 – $726 |
Last updated: Apr 1, 2026
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