Code: Q9958

Description:
Description: High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HOCM UP TO 149 IC 100ML
HOCM UP TO 149 IC 250ML
IOTHALAMATE MEGLUMINE 30 % INTRAVENOUS SOLUTION
DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION
IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION
HC HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML
DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION
CYSTOGRAFIN 300ML
DIATRIZOATE MEGLUMINE 30 % UR SOLN
Related codes:
Code: Q9950
SULFUR HEXAFLUOR 1ML INJ
Code: Q9951
LOCM 400 OR MORE IC 1 ML
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: Q9959
HOCM 150-199 IC 1ML
Florida
Hospital Address Code Price Last Updated
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q9958 $1 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q9958 $1 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q9958 $1 [source] 4 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q9958 $2 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q9958 $2 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q9958 $2 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q9958 $2 [source] 4 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q9958 $2 [source] 4 years ago
West Boca Medical Center 21644 State Rd. 7, Boca Raton Q9958 $3 [source] 4 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q9958 $3 [source] 4 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q9958 $5 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q9958 $10 [source] 4 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q9958 $26 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q9958 $55 [source] 4 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q9958 $70 [source] 4 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q9958 $70 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q9958 $73 [source] 4 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q9958 $77 [source] 4 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q9958 $78 [source] 4 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q9958 $82 [source] 4 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q9958 $85 [source] 4 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood Q9958 $98 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q9958 $111 [source] 4 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg Q9958 $125 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q9958 $132 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q9958 $132 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q9958 $132 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q9958 $132 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q9958 $132 [source] 4 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford Q9958 $153 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg Q9958 $161 [source] 4 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q9958 $324 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q9958 $411 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q9958 $429 [source] 4 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q9958 $471 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q9958 $513 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q9958 $612 [source] 4 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q9958 $669 [source] 4 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q9958 $721 [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.