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 IV SUSP REFRIGERATED
Ulysses, KS
See all hospitals reporting HCPCS Q9957 →Price type
Commonspirit Kansas, Inc.’s median price of $670 is 351% above the median hospital's median price ($149), higher than 88% 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: 6 payers, 13 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $268 | $267 | $14 | 5% | — | $247 – $284 |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $268 | $267 | $14 | 5% | — | $247 – $284 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $268 | $267 | $14 | 5% | — | $247 – $284 |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $268 | $267 | $14 | 5% | — | $247 – $284 |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $670 | $667 | $34 | 5% | — | $619 – $710 |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $670 | $667 | $34 | 5% | — | $619 – $710 |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $698 | $696 | $35 | 5% | — | $645 – $740 |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $698 | $696 | $35 | 5% | — | $645 – $740 |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $754 | $751 | $38 | 5% | — | $696 – $799 |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $754 | $751 | $38 | 5% | — | $696 – $799 |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $779 | $776 | $40 | 5% | — | $719 – $826 |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $779 | $776 | $40 | 5% | — | $719 – $826 |
Last updated: Feb 3, 2026
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