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 1.1 MG/ML INTRAVENOUS SUSPENSION
Amarillo, TX
See all hospitals reporting HCPCS Q9957 →Price type
BSA Hospital’s median price of $2.2k is 1397% above the median hospital's median price ($149), higher than 98% of the 1,901 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: 9 payers, 21 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 bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $330 | $330 | — | — | — | $330 – $330 |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 16 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 18 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 19 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 20 | Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 21 | MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
Last updated: Feb 12, 2026
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