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
Florida
Hospital Address Code Price Last Updated
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q9957 $2 [source] 4 years ago
Twin Cities Hospital 2190 Hwy 85 N, Niceville Q9957 $100 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q9957 $145 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q9957 $145 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q9957 $145 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q9957 $145 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q9957 $145 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q9957 $145 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q9957 $145 [source] 4 years ago
Lake City Medical Center 340 Nw Commerce Dr, Lake City Q9957 $181 [source] 4 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q9957 $334 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q9957 $348 [source] 4 years ago
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach Q9957 $359 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q9957 $400 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q9957 $402 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q9957 $402 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q9957 $402 [source] 4 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring Q9957 $449 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q9957 $477 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q9957 $505 [source] 4 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q9957 $513 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q9957 $558 [source] 4 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q9957 $588 [source] 4 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola Q9957 $643 [source] 4 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q9957 $653 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q9957 $664 [source] 4 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q9957 $664 [source] 4 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q9957 $671 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q9957 $692 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q9957 $706 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q9957 $742 [source] 4 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q9957 $759 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q9957 $761 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q9957 $873 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q9957 $890 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q9957 $890 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q9957 $957 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q9957 $1,026 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg Q9957 $1,037 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg Q9957 $1,066 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q9957 $1,140 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q9957 $1,363 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q9957 $1,377 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q9957 $1,383 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q9957 $1,383 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q9957 $1,383 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q9957 $1,383 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q9957 $1,383 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q9957 $1,383 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q9957 $1,394 [source] 4 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach Q9957 $1,396 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q9957 $1,396 [source] 4 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City Q9957 $1,635 [source] 4 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q9957 $1,737 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo Q9957 $1,838 [source] 4 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q9957 $1,977 [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.