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HCPCS Q9957
PERFLUTREN LIPID MICROSPHERE IV SUSP 6.52 MG/ML - as described in hospitals' own price files.
93hospitals publishing a price
$153median cash price
$113median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| South Texas Health System | Edinburg, TX | $18.37 | $3.32 | $24.49 | $1.59 - $106 |
| Orange County Global Medical Center | Santa Ana, CA | $604 | $41.00 | $1,162 | $41.00 - $69.00 |
| Los Angeles General Medical Center | Los Angeles, CA | $604 | $41.00 | $1,162 | $41.00 - $69.00 |
| San Francisco VA Medical Center | San Francisco, CA | $651 | $41.00 | $1,162 | $41.00 - $69.00 |
| San Mateo Medical Center | San Mateo, CA | $651 | $41.00 | $1,162 | $41.00 - $69.00 |
| Tri-City Medical Center | Oceanside, CA | $651 | $41.00 | $1,162 | $41.00 - $69.00 |
| Santa Clara Valley Medical Center | San Jose, CA | $651 | $41.00 | $1,162 | $41.00 - $69.00 |
| Sutter Medical Center, Sacramento | Sacramento, CA | $651 | $41.00 | $1,162 | $41.00 - $69.00 |
| Lompoc Valley Medical Center | Lompoc, CA | $604 | $41.00 | $1,162 | $41.00 - $69.00 |
| Sutter Roseville Medical Center | Roseville, CA | $651 | $41.00 | $1,162 | $41.00 - $69.00 |
| George Washington Univ Hospital | Washington, DC | $369 | $41.20 | $923 | $38.87 - $692 |
| Bluffton Regional Medical Center | Bluffton, IN | $17.04 | $44.02 | $71.00 | $17.04 - $164 |
| Dukes Memorial Hospital | Peru, IN | $52.00 | $49.50 | $104 | $16.79 - $104 |
| Chi-St Vincent Infirmary | Little Rock, AR | $54.54 | - | $213 | $29.76 - $169 |
| Dupont Hospital LLC | Fort Wayne, IN | $27.81 | $55.41 | $103 | $26.06 - $174 |
| Oro Valley Hospital | Oro Valley, AZ | $35.89 | $55.68 | $150 | $22.88 - $135 |
| Regional Hospital Of Scranton | Scranton, PA | $56.58 | $55.77 | $210 | $17.98 - $197 |
| Ohiohealth Shelby Hospital | Shelby, OH | $66.59 | - | $102 | - |
| Medstar Franklin Square Medical Center | Rosedale, MD | $66.24 | $67.59 | $67.59 | $66.24 - $67.59 |
| Chi St. Joseph Health Regional Hospital | Bryan, TX | $80.68 | - | $461 | $41.61 - $461 |
| Doctors Hospital | Columbus, OH | $80.75 | - | $124 | - |
| Dublin Methodist Hospital | Dublin, OH | $80.75 | - | $124 | - |
| Grant Medical Center | Columbus, OH | $80.75 | - | $124 | - |
| Riverside Methodist Hospital | Columbus, OH | $80.75 | - | $124 | - |
| Medstar Saint Mary'S Hospital | Leonardtown, MD | $79.28 | $80.90 | $80.90 | $79.28 - $80.90 |
| Medstar Montgomery Medical Center | Olney, MD | $86.71 | $88.48 | $88.48 | $86.71 - $88.48 |
| Berger Hospital | Circleville, OH | $93.64 | - | $144 | - |
| Milton S Hershey Medical Center | Hershey, PA | $63.97 | $106 | $193 | $34.76 - $154 |
| Penn State Health Hampden Medical Center | Enola, PA | $67.17 | $106 | $213 | $40.21 - $171 |
| Penn State Health St. Joseph | Reading, PA | $55.51 | $107 | $213 | $0.06 - $171 |
| Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $50.99 | $107 | $213 | $40.21 - $171 |
| Providence Cedars Sinai Tarzana Medical Center | Tarzana, CA | $112 | - | $320 | - |
| Saint John'S Health Center | Santa Monica, CA | $112 | - | $320 | - |
| Providence Little Co Of Mary Med Ctr San Pedro | San Pedro, CA | $112 | - | $320 | - |
| Providence Holy Cross Medical Center | Mission Hills, CA | $112 | - | $320 | - |
| Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | $112 | - | $320 | - |
| Providence Saint Joseph Medical Ctr | Burbank, CA | $112 | - | $320 | - |
| Excela Health Westmoreland Regional Hospital | Greensburg, PA | $90.00 | $120 | $150 | $53.34 - $147 |
| Moberly Regional Medical Center | Moberly, MO | $49.86 | $123 | $185 | $36.94 - $152 |
| Medstar Southern Maryland Hospital Center | Clinton, MD | $124 | $127 | $127 | $124 - $127 |
| Hardin Memorial Hospital | Kenton, OH | $129 | - | $199 | - |
| Covenant Medical Center | Lubbock, TX | $134 | - | $320 | - |
| North Okaloosa Medical Center | Crestview, FL | $40.50 | $142 | $225 | $33.75 - $4,918 |
| Merit Health Wesley | Hattiesburg, MS | $82.66 | $149 | $394 | $40.92 - $394 |
| Aiken Regional Medical Center | Aiken, SC | $262 | $150 | $655 | $42.40 - $2,513 |
| St. Mary Medical Center | Long Beach, CA | $153 | - | $320 | - |
| Providence St. Jude Medical Center | Fullerton, CA | $153 | - | $320 | - |
| Swedish Edmonds Hospital | Edmonds, WA | $153 | - | $320 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $153 | - | $320 | - |
| Swedish Issaquah | Issaquah, WA | $153 | - | $320 | - |
| Providence Mission Hospital | Mission Viejo, CA | $153 | - | $320 | - |
| Lakewood Ranch Medical Center | Bradenton, FL | - | $155 | $636 | $39.43 - $34,344 |
| Mat-Su Regional Medical Center | Palmer, AK | $59.10 | $156 | $197 | $21.12 - $197 |
| Christus Spohn Hospital Corpus Christi | Corpus Christi, TX | $156 | - | $779 | $41.88 - $3,562 |
| Medstar Union Memorial Hospital | Baltimore, MD | $155 | $158 | $158 | $155 - $158 |
| Allen County Regional Hospital | Iola, KS | $160 | - | $266 | $92.02 - $260 |
| Medstar Harbor Hospital | Baltimore, MD | $157 | $160 | $160 | $157 - $160 |
| Providence Redwood Memorial Hospital | Fortuna, CA | $163 | - | $320 | - |
| Providence Queen Of The Valley Medical Center | Napa, CA | $163 | - | $320 | - |
| Providence Centralia Hospital | Centralia, WA | $166 | - | $320 | - |
| Providence St. Peter Hospital | Olympia, WA | $166 | - | $320 | - |
| Bakersfield Memorial Hospital | Bakersfield, CA | $168 | - | $461 | $48.27 - $544 |
| Wilkes-Barre General Hospital | Wilkes-Barre, PA | $127 | $192 | $528 | $42.30 - $528 |
| Medstar Good Samaritan Hospital | Baltimore, MD | $191 | $195 | $195 | $191 - $195 |
| Northwest Health - Porter | Valparaiso, IN | $109 | $198 | $403 | $40.92 - $355 |
| Community Hospital Of San Bernardino | San Bernardino, CA | $213 | - | $547 | $48.27 - $881 |
| Crestwood Medical Center | Huntsville, AL | $57.39 | $223 | $319 | $40.65 - $319 |
| Providence Holy Family Hospital | Spokane, WA | $224 | - | $320 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $224 | - | $320 | - |
| Providence Hood River Memorial Hospital | Hood River, OR | $240 | - | $320 | - |
| Providence Portland Medical Center | Portland, OR | $240 | - | $320 | - |
| Grandview Medical Center | Birmingham, AL | $60.00 | $240 | $400 | $44.48 - $400 |
| Providence Willamette Falls Medical Center | Oregon City, OR | $248 | - | $330 | - |
| Christus Southeast Texas- St. Elizabeth | Beaumont, TX | $248 | - | $750 | $41.88 - $4,047 |
| Texoma Medical Center | Denison, TX | $1,119 | $260 | $1,492 | $47.74 - $1,119 |
| Chandler Regional Medical Center | Chandler, AZ | $273 | - | $984 | $40.76 - $827 |
| Henderson Hospital | Henderson, NV | - | $320 | $2,244 | $41.20 - $1,795 |
| Spring Valley Hospital Medical Center | Las Vegas, NV | - | $328 | $2,244 | $41.20 - $1,795 |
| Providence Alaska Medical Center | Anchorage, AK | $353 | - | $452 | - |
| Ohiohealth O'Bleness Hospital | Athens, OH | $370 | - | $570 | - |
| Mercy Gilbert Medical Center | Gilbert, AZ | $381 | - | $759 | $50.24 - $759 |
| Dominican Hospital | Santa Cruz, CA | $389 | - | $880 | $48.27 - $748 |
| Northeast Regional Medical Center | Kirksville, MO | $147 | $398 | $612 | $147 - $521 |
| Northridge Hospital Medical Center | Northridge, CA | $400 | - | $1,489 | $48.27 - $1,489 |
| Sierra Nevada Memorial Hospital | Grass Valley, CA | $439 | - | $791 | $43.31 - $775 |
| Christus St. Vincent Regional Medical Center | Santa Fe, NM | $450 | - | $750 | $629 - $4,195 |
| Providence Seaside Hospital | Seaside, OR | $488 | - | $651 | - |
| Grady Memorial Hospital | Delaware, OH | $489 | - | $753 | - |
| St. Mary'S Regional Medical Center | Enid, OK | - | $547 | $1,368 | $46.97 - $1,081 |
| Lower Keys Medical Center | Key West, FL | $223 | $659 | $824 | $40.92 - $824 |
| Flowers Hospital | Dothan, AL | $171 | $855 | $1,141 | $41.79 - $1,141 |
| Chi St. Vincent Hospital Hot Springs | Hot Springs, AR | $2,447 | - | $2,447 | $47.81 - $1,958 |
| Plains Regional Medical Center | Clovis, NM | $2,433 | $6,127 | $9,010 | $50.48 - $7,929 |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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