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
Michigan
Hospital Address Code Price Last Updated
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit Q9958 $2 [source] 4 years ago
Karmanos Cancer Institute 4100 John R St, Detroit Q9958 $3 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q9958 $4 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q9958 $4 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q9958 $4 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q9958 $4 [source] 4 years ago
Ccma Beaumont Pllc 18181 Oakwood Blvd, Dearborn Q9958 $4 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q9958 $4 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q9958 $4 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q9958 $4 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q9958 $4 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q9958 $4 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q9958 $4 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q9958 $4 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q9958 $4 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q9958 $8 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q9958 $8 [source] 4 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q9958 $8 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q9958 $8 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q9958 $63 [source] 4 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit Q9958 $84 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy Q9958 $114 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy Q9958 $114 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy Q9958 $114 [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.