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HCPCS Q9963

High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml

Current codeContrast Agent32 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.01 – $3.402 plans$1.60$1.19 – $4.00
Cascade Medical CenterLeavenworth$1261 plan$161$201
Cascade Valley HospitalArlington$1.96 – $1,8738 plans$18.46 – $174$23.07 – $218
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.13 – $1.463 plans—$1.13 – $2.00
EvergreenHealth Medical CenterKirkland$24.00 – $2807 plans$241$301
Highline Medical CenterBurienFile dated 2026-02-28$54.18 – $4535 plans$38.48 – $154$126 – $504
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1.29 – $3.266 plans$1.60$2.00 – $4.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1.46 – $2.922 plans$1.60$1.19 – $4.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1.46 – $2.922 plans$1.60$1.19 – $4.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1.46 – $2.922 plans$1.60$1.19 – $4.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1.14 – $1.443 plans—$1.13 – $2.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1.002 plans—$1.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$10.94 – $280$21.88 – $560
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.431 plan——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1.311 plan——
Seattle Children's HospitalSeattle$126 – $22498 plans$233$233
Skagit Valley HospitalMount Vernon$2.46 – $2497 plans$2.47 – $209$3.09 – $262
St Anthony HospitalGig HarborFile dated 2026-02-28$63.00 – $3783 plans$38.33 – $153$126 – $504
St Clare HospitalLakewoodFile dated 2026-02-28$63.00 – $3783 plans$36.32 – $145$126 – $504
St Elizabeth HospitalEnumclawFile dated 2026-02-28$41.96 – $4536 plans$44.53 – $178$126 – $504
St Francis Community HospitalFederal WayFile dated 2026-02-28$63.00 – $3783 plans$39.55 – $158$126 – $504
St Joseph Medical CenterTacomaFile dated 2026-02-28$63.00 – $3783 plans$41.74 – $167$126 – $504
St Michael Medical CenterSilverdaleFile dated 2026-02-28$85.68 – $4538 plans$55.61 – $222$126 – $504
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.46 – $2.922 plans$1.60$1.19 – $4.00
Virginia Mason Medical CenterSeattle——$1.00
WhidbeyHealth Medical CenterCoupeville—$2,278$2,278
Yakima Valley MemorialYakimaFile dated 2026-08-27$1.012 plans—$1.19

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.