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)
Nevada
Hospital Address Code Price Last Updated
Carson Valley Medical Center 1107 Hwy 395, Gardnerville Q9967 $9 [source] 4 years ago
Renown South Meadows Medical Center 10101 Double R Blvd, Reno Q9967 $31 [source] 4 years ago
Renown Regional Medical Center 1155 Mill Street, Reno Q9967 $31 [source] 4 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks Q9967 $51 [source] 4 years ago
Boulder City Hospital 901 Adams Blvd, Boulder City Q9967 $188 [source] 4 years ago
Desert View Regional Medical Center 360 S Lola Ln, Pahrump Q9967 $286 [source] 4 years ago
Mt. Grant General Hospital 1St And A St, Hawthorne Q9967 $318 [source] 4 years ago
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas Q9967 $350 [source] 4 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas Q9967 $806 [source] 4 years ago
Mountainview Hospital 3100 N Tenaya Way, Las Vegas Q9967 $875 [source] 4 years ago
Southern Hills Hospital & Medical Center 9300 W Sunset Rd, Las Vegas Q9967 $964 [source] 4 years ago
Northeastern Nevada Regional Hospital 2001 Errecart Boulevard, Q9967 $990 [source] 4 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas Q9967 $1,772 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas Q9967 $1,852 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas Q9967 $1,963 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson Q9967 $1,963 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas Q9967 $4,293 [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 ยง180.