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
Michigan
Hospital Address Code Price Last Updated
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q9957 $87 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q9957 $109 [source] 4 years ago
St. John Providence 28000 Dequindre Rd, Warren Q9957 $126 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q9957 $143 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q9957 $145 [source] 4 years ago
Mclaren Caro Region 401 N Hooper St, Caro Q9957 $202 [source] 4 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe Q9957 $223 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe Q9957 $225 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q9957 $225 [source] 4 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint Q9957 $231 [source] 4 years ago
Aspirus Ontonagon Hospital 601 S Seventh St, Ontonagon Q9957 $317 [source] 4 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet Q9957 $317 [source] 4 years ago
Aspirus Ironwood Hospital N10565 Grandview Ln, Ironwood Q9957 $317 [source] 4 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River Q9957 $317 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens Q9957 $543 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q9957 $578 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q9957 $578 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q9957 $578 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q9957 $595 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q9957 $595 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q9957 $595 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma Q9957 $607 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin Q9957 $610 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette Q9957 $721 [source] 4 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit Q9957 $722 [source] 4 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit Q9957 $722 [source] 4 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township Q9957 $724 [source] 4 years ago
Dmc Detroit Receiving Hospital 4201 St. Antoine Blvd, Detroit Q9957 $750 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy Q9957 $894 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q9957 $894 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q9957 $894 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q9957 $894 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy Q9957 $894 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q9957 $894 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q9957 $894 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy Q9957 $894 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q9957 $894 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q9957 $894 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q9957 $894 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q9957 $1,077 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q9957 $1,077 [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 §180.