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
Wisconsin
Hospital Address Code Price Last Updated
Aurora Baycare 1160 Kepler Dr, Green Bay Q9958 $30 [source] 4 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q9958 $30 [source] 4 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q9958 $31 [source] 4 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q9958 $34 [source] 4 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q9958 $35 [source] 4 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q9958 $39 [source] 4 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q9958 $49 [source] 4 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q9958 $49 [source] 4 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q9958 $49 [source] 4 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q9958 $51 [source] 4 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q9958 $53 [source] 4 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q9958 $57 [source] 4 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q9958 $60 [source] 4 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q9958 $68 [source] 4 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q9958 $85 [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.