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
Texas
Hospital Address Code Price Last Updated
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q9957 $87 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q9957 $145 [source] 4 years ago
Ascension Providence 6901 Medical Pkwy, Woodway Q9957 $152 [source] 4 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie Q9957 $278 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q9957 $296 [source] 4 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q9957 $306 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q9957 $353 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q9957 $383 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q9957 $446 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q9957 $446 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q9957 $498 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q9957 $517 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q9957 $517 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q9957 $517 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q9957 $517 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville Q9957 $560 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q9957 $621 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q9957 $621 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q9957 $621 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q9957 $621 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q9957 $677 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q9957 $677 [source] 4 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston Q9957 $722 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey Q9957 $776 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco Q9957 $776 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth Q9957 $776 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney Q9957 $776 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano Q9957 $776 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano Q9957 $776 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving Q9957 $776 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano Q9957 $776 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas Q9957 $776 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q9957 $776 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie Q9957 $776 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett Q9957 $776 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton Q9957 $776 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine Q9957 $776 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q9957 $890 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q9957 $890 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q9957 $890 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q9957 $934 [source] 4 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q9957 $1,571 [source] 4 years ago
St. David's Healthcare , Round Rock Q9957 $1,953 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q9957 $3,454 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q9957 $3,480 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth Q9957 $9,399 [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.