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Every billing code / Imaging / Standard X-ray

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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$1.60$1.19 – $4.00
Cascade Medical CenterLeavenworth$1071 plan$161$201
Cascade Valley HospitalArlington—$18.46 – $174$23.07 – $218
Deaconess Medical CenterSpokaneFile dated 2026-08-27——$1.13 – $2.00
EvergreenHealth Medical CenterKirkland—$241$301
Highline Medical CenterBurienFile dated 2026-02-28—$38.48 – $154$126 – $504
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1.60$2.00 – $4.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1.60$1.19 – $4.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$1.60$1.19 – $4.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1.60$1.19 – $4.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27——$1.13 – $2.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24——$1.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$10.94 – $280$21.88 – $560
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Seattle Children's HospitalSeattle—$233$233
Skagit Valley HospitalMount Vernon—$2.47 – $209$3.09 – $262
St Anthony HospitalGig HarborFile dated 2026-02-28—$38.33 – $153$126 – $504
St Clare HospitalLakewoodFile dated 2026-02-28—$36.32 – $145$126 – $504
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$44.53 – $178$126 – $504
St Francis Community HospitalFederal WayFile dated 2026-02-28—$39.55 – $158$126 – $504
St Joseph Medical CenterTacomaFile dated 2026-02-28—$41.74 – $167$126 – $504
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$55.61 – $222$126 – $504
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$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——$1.19

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.