Code: Q9967

Description:

Description: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Other Descriptions:

LOCM 300-399 IC 30ML

OMNIPAQUE PO 350 100ML

LOCM 300-399 IC 1ML

LOCM 300-399 IC 200ML

OMNIPAQUE PO 350 50ML

OMNIPAQUE PO 300 50ML

LOCM 300-399 IC 10ML

LOCM 300-399 IC 100ML

LOCM 300-399 IC 75ML

Related codes:

Code: Q9960

Description: High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q9961

Description: High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q9962

Description: High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q9963

Description: High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q9964

Description: High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q9965

Description: Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q9966

Description: Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q9968

Description: Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q9969

Description: Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
HCPCS Category: Temporary codes (limited use and guidelines specific)

Nebraska

Hospital	Address	Code	Price	Last Updated
Chi Health St. Elizabeth	555 S. 70Th St., Lincoln	Q9967	$195 [source]	4 years ago
Chi Health Good Samaritan	10 E 31St St, Kearney	Q9967	$195 [source]	4 years ago
Chi Health Lakeside	17201 Wright St, Omaha	Q9967	$195 [source]	4 years ago
Chi Health Schuyler	1721 Colfax St, Schuyler	Q9967	$195 [source]	4 years ago
Chi Health Midlands	11111 S 84Th St, Papillion	Q9967	$195 [source]	4 years ago
Chi Health Plainview	704 N 3Rd St, Plainview	Q9967	$195 [source]	4 years ago
Chi Health St. Mary	1301 Grundman Blvd, Nebraska City	Q9967	$195 [source]	4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy	7500 Mercy Rd, Omaha	Q9967	$195 [source]	4 years ago
Chi Health Immanuel	7101 Newport Ave, Omaha	Q9967	$195 [source]	4 years ago
Chi Health St. Francis	2116 W Faidley Ave, Grand Island	Q9967	$195 [source]	4 years ago
Chi Health Nebraska Heart	7500 So. 91St St., Lincoln	Q9967	$195 [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.