Code: Q9964

Description:
Description: High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HIGH OSM CONTRST MATL 400/> MG/ML IODINE CONC ML
HC LOCM OMNI 350 100-199MG 200ML
HC HOCM CONRAY 60% 50 ML
Related codes:
Code: Q9960
HOCM 200-249 IC 1ML
Code: Q9961
HOCM 250-299 IC 50ML
Code: Q9962
HOCM 300-349 IC 50ML
Code: Q9963
GASTROGRAFN PO 367 120ML
Code: Q9965
LOCM 100-199 IC 1ML
Code: Q9966
LOCM 200-299 IC 50ML
Code: Q9967
LOCM 300-399 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Code: Q9969
TC99M NON-HEU ADD-ON
North Carolina
Hospital Address Code Price Last Updated
Moses Cone Hospital 1131D N Church St, Greensboro Q9964 $3 [source] 3 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q9964 $3 [source] 3 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q9964 $3 [source] 3 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q9964 $3 [source] 3 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q9964 $3 [source] 3 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q9964 $47 [source] 3 years ago
Mcdowell Hospital , Marion Q9964 $50 [source] 3 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q9964 $50 [source] 3 years ago
Angel Medical Center 120 Riverview St, Franklin Q9964 $50 [source] 3 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q9964 $196 [source] 3 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton Q9964 $197 [source] 3 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q9964 $197 [source] 3 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q9964 $206 [source] 3 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q9964 $213 [source] 3 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q9964 $215 [source] 3 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q9964 $241 [source] 3 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q9964 $282 [source] 3 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q9964 $299 [source] 3 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q9964 $319 [source] 3 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.