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 Microsphere (DEFINITY) 6.52 MG/ML injection 2 mL
Orange, TX
See all hospitals reporting HCPCS Q9957 →Price type
CHRISTUS Hospital - Orange’s median price of $1000 is 573% above the median hospital's median price ($149), higher than 94% 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: 11 payers, 28 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 | UnitedHealthcare all payer fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Aetna new business fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Aetna epo fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Aetna hmo fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Aetna pos fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 7 | Aetna ppo fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Humana choicecare fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $372 | $372 | — | — | — | $372 – $372 |
| 10 | Bcbs Tx heb fee schedule · outpatient | $462 | $462 | — | — | — | $462 – $462 |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $462 | $462 | — | — | — | $462 – $462 |
| 12 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $476 | $476 | — | — | — | $476 – $476 |
| 13 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $476 | $476 | — | — | — | $476 – $476 |
| 14 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $476 | $476 | — | — | — | $476 – $476 |
| 15 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $476 | $476 | — | — | — | $476 – $476 |
| 16 | Bcbs Tx ppo fee schedule · outpatient | $514 | $514 | — | — | — | $514 – $514 |
| 17 | Bcbs Tx traditional fee schedule · outpatient | $545 | $545 | — | — | — | $545 – $545 |
| 18 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Molina star km percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
Last updated: Jan 13, 2026
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