HCPCS Q9957
Injection, perflutren lipid microspheres, per ml
Current codeContrast Agent41 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $66.40 – $70.55 | $33.20 | $83.00 |
| Cascade Valley Hospital | $65.42 – $770 | $616 | $770 |
| Deaconess Medical Center | $361 – $372 | $204 | $509 |
| Highline Medical Center | $52.01 – $544 | $36.94 – $185 | $121 – $605 |
| Island Hospital | $40.21 – $126 | $133 | $133 |
| Mary Bridge Children's Hospital | $54.28 – $66.40 | $33.20 | $83.00 |
| MultiCare Auburn Medical Center | $48.97 – $60.59 | $33.20 | $83.00 |
| MultiCare Covington Medical Center | $48.97 – $60.59 | $33.20 | $83.00 |
| MultiCare Good Samaritan Hospital | $48.97 – $60.59 | $33.20 | $83.00 |
| MultiCare Valley Hospital | $366 | $204 | $509 |
| Olympic Medical Center | $1.00 | — | $1.00 |
| Overlake Hospital Medical Center & Clinics | — | $175 – $354 | $350 – $709 |
| PeaceHealth Peace Island Medical Center | — | $250 – $731 | $385 – $1,125 |
| PeaceHealth Southwest Medical Cente | — | $211 – $731 | $324 – $1,125 |
| PeaceHealth St John Medical Center | — | $349 – $731 | $537 – $1,125 |
| PeaceHealth St Joseph Medical Center | — | $250 – $731 | $385 – $1,125 |
| PeaceHealth United General Medical Center | $5,299 | $250 – $731 | $385 – $1,125 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $224 | $320 |
| Providence Centralia Hospital | — | $166 | $320 |
| Providence Holy Family Hospital | — | $224 | $320 |
| Providence St Mary Medical Center | — | $224 | $320 |
| Providence St Peter Hospital | — | $166 | $320 |
| Skagit Valley Hospital | $85.86 – $731 | $476 – $616 | $595 – $770 |
| St Anthony Hospital | $66.53 – $454 | $36.79 – $184 | $121 – $605 |
| St Clare Hospital | $66.53 – $454 | $34.87 – $174 | $121 – $605 |
| St Elizabeth Hospital | $43.55 – $544 | $42.74 – $214 | $121 – $605 |
| St Francis Community Hospital | $66.53 – $454 | $37.96 – $190 | $121 – $605 |
| St Joseph Medical Center | $66.53 – $454 | $40.06 – $200 | $121 – $605 |
| St Michael Medical Center | $76.20 – $544 | $53.39 – $267 | $121 – $605 |
| Swedish Edmonds Hospital | — | $153 | $320 |
| Swedish Issaquah | — | $153 | $320 |
| Swedish Medical Center | — | $153 | $320 |
| Swedish Medical Center / Cherry Hill | — | $153 | $320 |
| Tacoma General Allenmore Hospital | $48.97 – $60.59 | $33.20 | $83.00 |
| Three Rivers Hospital | — | $274 | $274 |
| Trios Health | — | — | $477 |
| Virginia Mason Medical Center | $102 – $128 | $81.60 | $160 |
| Yakima Valley Memorial | $50.82 – $174 | $36.30 – $124 | $90.75 – $311 |
Medicare (traditional) reference
CMS publishes no national amount for this code.