HCPCS Q9957
Injection, perflutren lipid microspheres, per ml
Current codeContrast Agent41 hospitals with prices
What Washington hospitals publish for this code
Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.
| Hospital | Medicare (traditional) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $33.20 | $83.00 |
| Cascade Valley Hospital | — | $616 | $770 |
| Deaconess Medical Center | — | $204 | $509 |
| Highline Medical Center | — | $36.94 – $185 | $121 – $605 |
| Island Hospital | — | $133 | $133 |
| Mary Bridge Children's Hospital | — | $33.20 | $83.00 |
| MultiCare Auburn Medical Center | — | $33.20 | $83.00 |
| MultiCare Covington Medical Center | — | $33.20 | $83.00 |
| MultiCare Good Samaritan Hospital | — | $33.20 | $83.00 |
| MultiCare Valley Hospital | — | $204 | $509 |
| Olympic Medical Center | — | — | $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 | — | $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 | — | $476 – $616 | $595 – $770 |
| St Anthony Hospital | — | $36.79 – $184 | $121 – $605 |
| St Clare Hospital | — | $34.87 – $174 | $121 – $605 |
| St Elizabeth Hospital | — | $42.74 – $214 | $121 – $605 |
| St Francis Community Hospital | — | $37.96 – $190 | $121 – $605 |
| St Joseph Medical Center | — | $40.06 – $200 | $121 – $605 |
| St Michael Medical Center | — | $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 | — | $33.20 | $83.00 |
| Three Rivers Hospital | $45.43 – $185 | $274 | $274 |
| Trios Health | — | — | $477 |
| Virginia Mason Medical Center | — | $81.60 | $160 |
| Yakima Valley Memorial | — | $36.30 – $124 | $90.75 – $311 |
Medicare (traditional) reference
CMS publishes no national amount for this code.