Code: Q9957

Description:
Description: Injection, perflutren lipid microspheres, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
PERFLUT LPDMCS 1.5ML INJ
Inj Perflutren Lip Micros, Ml
PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION
DEFINITY SUPPLY CONTRAST ML
PERFLUTREN (DEFINITY) IV SYRINGE (DILUTED BOLUS)
DEFINITY CONTRAST
INJ DEFINITY-PERFLUTREN LIP MICROS 1ML
PERFLUTREN LIPID MICROSPHERE
PERFLUTREN LIP MICROS 2ML VL
Related codes:
Code: Q9950
SULFUR HEXAFLUOR 1ML INJ
Code: Q9951
LOCM 400 OR MORE IC 1 ML
Code: Q9953
IRON MR CONTRAST 1ML INJ
Code: Q9954
MR CONTRAST 100 ML PO
Code: Q9955
Description: Injection, perflexane lipid microspheres, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9956
OCTAFLUOROPR MCS 3ML INJ
Code: Q9958
HOCM UP TO 149 IC 300ML
Code: Q9959
HOCM 150-199 IC 1ML
California
Hospital Address Code Price Last Updated
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q9957 $87 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q9957 $87 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q9957 $87 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q9957 $87 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q9957 $87 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q9957 $87 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q9957 $87 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q9957 $87 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q9957 $87 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q9957 $87 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q9957 $87 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q9957 $87 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q9957 $87 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q9957 $87 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q9957 $87 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q9957 $87 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q9957 $87 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q9957 $87 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q9957 $87 [source] 4 years ago
Sutter Delta Medical Center 3901 Lone Tree Way, Antioch Q9957 $111 [source] 4 years ago
Sierra Vista Regional Medical Center 1010 Murray Ave., San Luis Obispo Q9957 $200 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale Q9957 $258 [source] 4 years ago
Desert Regional Medical Center 1150 N. Indian Canyon Way, Palm Springs Q9957 $266 [source] 4 years ago
Fountain Valley Regional Hospital 17100 Euclid At Warner, Fountain Valley Q9957 $313 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside Q9957 $524 [source] 4 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q9957 $525 [source] 4 years ago
Lakewood Regional Medical Center 3700 East South St., Lakewood Q9957 $546 [source] 4 years ago
San Ramon Regional Medical Center 6001 Norris Canyon Rd., San Ramon Q9957 $552 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.