Code: Q9951

Description:
Description: Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
LOW OSM CONTRST MATL 400/> MG/ML IODINE CONC ML
SP LOCM 400> MG/ML/ML
CT-LOCM 400 OR > MG/ML-PE
CCLOCM 400 OR GRTR MG/ML
SP-LOCM 400 OR GREATER MG
Related codes:
Code: Q9950
SULFUR HEXAFLUOR 1ML INJ
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: Q9957
PERFLUTRN LPDMCS 1ML INJ
Code: Q9958
HOCM UP TO 149 IC 300ML
Code: Q9959
HOCM 150-199 IC 1ML
Wisconsin
Hospital Address Code Price Last Updated
Aurora Baycare 1160 Kepler Dr, Green Bay Q9951 $465 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q9951 $476 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q9951 $527 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q9951 $563 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q9951 $570 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q9951 $678 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q9951 $679 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q9951 $680 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q9951 $713 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q9951 $731 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q9951 $748 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q9951 $752 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q9951 $860 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q9951 $867 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q9951 $906 [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.