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

Tennessee

Hospital	Address	Code	Price	Last Updated
Southern Tennessee Regional Health System - Winchester	185 Hospital Road, Winchester	Q9958	$1 [source]	4 years ago
Trousdale Medical Center	500 Church Street, Hartsville	Q9958	$3 [source]	4 years ago
Southern Tennessee Regional Health System - Pulaski	1265 East College Street, Pulaski	Q9958	$15 [source]	4 years ago
Sumner Regional Medical Center	555 Hartsville Pike, Gallatin	Q9958	$157 [source]	4 years ago
Southern Tennessee Regional Health System - Lawrenceburg	1607 South Locust Avenue, Lawrenceburg	Q9958	$475 [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.